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General NPI Number Information
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NPI Number | 1366808495
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Entity Type | Organization
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Legal Business Name | JAMES M. LA ROSE, D.O. & ASSOCIATES
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 01/05/2016
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Provider Practice Location Address
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Address Line | 503 ARCHWOOD TRAIL
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City | HOUSTON
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State | TX
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Zip | 77007-1806
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Country | US
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Telephone | 281-381-3555
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Fax | 832-533-8767
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Provider Business Mailing Address
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Address Line | 503 ARCHWOOD TRAIL
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City | HOUSTON
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State | TX
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Zip | 77007-1806
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Country | US
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Telephone | 281-381-3555
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Fax | 832-533-8767
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Authorized Official
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Title or Position | PRES.
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Name | DR. JAMES MICHAEL LA ROSE
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Credential | D.O.
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Telephone | 281-381-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | TX
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