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General NPI Number Information
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NPI Number | 1811290109
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Entity Type | Organization
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Legal Business Name | ROMANO WOODS DIALYSIS CENTER, LLC
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Dates
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Enumeration Date | 12/08/2010
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Last Update Date | 12/08/2010
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Provider Practice Location Address
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Address Line | 16910 MATHIS CHURCH RD
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City | HOUSTON
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State | TX
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Zip | 77090-3710
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Country | US
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Telephone | 281-893-6300
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Fax | 281-893-6366
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Provider Business Mailing Address
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Address Line | 8700 S GESSNER DR STE 300
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City | HOUSTON
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State | TX
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Zip | 77074-2916
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Country | US
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Telephone | 713-774-7676
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Fax | 713-774-0432
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. LORI TIMMONS
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Credential | RN, BSN
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Telephone | 979-864-4330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number | 008722
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License Number State | TX
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