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General NPI Number Information
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NPI Number | 1306313176
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Entity Type | Organization
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Legal Business Name | ROCKET PT, LLC
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Dates
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Enumeration Date | 10/30/2018
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Last Update Date | 11/01/2018
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Provider Practice Location Address
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Address Line | 5605 N MACARTHUR BLVD # 10000
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City | IRVING
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State | TX
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Zip | 75038-2617
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Country | US
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Telephone | 214-603-0841
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Fax |
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Provider Business Mailing Address
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Address Line | 201 MCKINNEY VILLAGE PKWY APT 1105
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City | MCKINNEY
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State | TX
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Zip | 75069-2545
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Country | US
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Telephone | 214-603-0841
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LUIS ARMANDO CARAVEO JR.
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Credential |
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Telephone | 214-603-0841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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