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General NPI Number Information
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NPI Number | 1316123409
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Entity Type | Organization
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Legal Business Name | DONALD C. ROA, MD,PA
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 04/22/2011
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Provider Practice Location Address
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Address Line | 1821 S SESAME SQUARE SUITE 9
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City | HARLINGEN
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State | TX
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Zip | 78550-8407
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Country | US
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Telephone | 956-412-7099
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Fax | 956-412-7488
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Provider Business Mailing Address
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Address Line | 1821 S SESAME SQUARE SUITE 9
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City | HARLINGEN
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State | TX
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Zip | 78550-8407
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Country | US
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Telephone | 956-412-7099
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Fax | 956-412-7488
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Authorized Official
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Title or Position | M.D.
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Name | DR. DONALD C. ROA
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Credential | M.D.
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Telephone | 956-412-7099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | L7141
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License Number State | TX
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