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General NPI Number Information
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NPI Number | 1669307898
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Entity Type | Individual
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Provider Name | ROSA SERRANO
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Gender | Female
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 3204 ENNIS ST
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City | HOUSTON
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State | TX
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Zip | 77004-3213
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Country | US
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Telephone | 832-927-7334
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Fax | 832-965-3337
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Provider Business Mailing Address
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Address Line | 7801 BALTIMORE ST
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City | HOUSTON
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State | TX
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Zip | 77012-1534
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Country | US
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Telephone |
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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