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General NPI Number Information
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NPI Number | 1659674604
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Entity Type | Organization
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Legal Business Name | ERIC S ROTHENBERG MD PA
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 06/28/2012
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Provider Practice Location Address
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Address Line | 4500 E SAM HOUSTON PKWY S SUITE 102
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City | PASADENA
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State | TX
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Zip | 77505-3959
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Country | US
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Telephone | 281-998-9000
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Fax | 281-998-8001
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Provider Business Mailing Address
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Address Line | 4500 E SAM HOUSTON PKWY S SUITE 102
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City | PASADENA
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State | TX
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Zip | 77505-3959
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Country | US
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Telephone | 281-998-9000
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Fax | 281-998-8001
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATHY A PAYNE
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Credential |
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Telephone | 281-998-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | J1029
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License Number State | TX
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