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General NPI Number Information
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NPI Number | 1548755093
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Entity Type | Organization
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Legal Business Name | G. MARTIN ROSSI, M.D, P.A.
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | 915 GESSNER RD STE 550
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City | HOUSTON
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State | TX
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Zip | 77024-2571
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Country | US
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Telephone | 713-461-6262
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Fax | 713-461-5111
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Provider Business Mailing Address
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Address Line | 915 GESSNER RD STE 550
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City | HOUSTON
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State | TX
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Zip | 77024-2571
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Country | US
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Telephone | 713-461-6262
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Fax | 713-461-5111
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LUCY AVILA
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Credential |
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Telephone | 713-461-6262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | H1199
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License Number State | TX
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