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General NPI Number Information
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NPI Number | 1528048071
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Entity Type | Individual
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Provider Name | JOHN E ROKER PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 4805 HIGHWAY 6 N STE 12-A
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City | HOUSTON
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State | TX
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Zip | 77084-2716
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Country | US
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Telephone | 346-205-8600
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Fax |
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Provider Business Mailing Address
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Address Line | P O BOX 4439
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City | HOUSTON
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State | TX
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Zip | 77210-4439
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Country | US
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Telephone | 713-792-2991
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA04069
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License Number State | TX
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