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General NPI Number Information
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NPI Number | 1679743868
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Entity Type | Organization
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Legal Business Name | LINDA ROOS M D P A
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 9119 S GESSNER DR
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City | HOUSTON
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State | TX
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Zip | 77074-2874
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Country | US
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Telephone | 713-271-1522
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Fax |
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Provider Business Mailing Address
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Address Line | 9119 S GESSNER DR
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City | HOUSTON
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State | TX
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Zip | 77074-2874
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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 | DOCTOR
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Name | DR. LINDA J ROOS
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Credential | M D P A
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Telephone | 713-271-1522
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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 | H2003
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License Number State | TX
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