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General NPI Number Information
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NPI Number | 1689487365
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Entity Type | Organization
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Legal Business Name | ROTHBAUER HOLDINGS LLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 309 KESSLER AVE
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City | SCHULENBURG
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State | TX
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Zip | 78956-1507
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Country | US
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Telephone | 979-743-4663
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Fax | 979-743-4770
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Provider Business Mailing Address
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Address Line | 8182 FM 532 W
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City | GONZALES
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State | TX
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Zip | 78629-3587
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Country | US
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Telephone | 361-772-0406
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALISHA ROTHBAUER
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Credential |
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Telephone | 361-772-0406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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