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General NPI Number Information
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NPI Number | 1932351749
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Entity Type | Organization
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Legal Business Name | ROSIE'S ANGELS
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Dates
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Enumeration Date | 10/13/2008
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Last Update Date | 10/13/2008
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Provider Practice Location Address
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Address Line | 4113 HARE ST
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City | HOUSTON
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State | TX
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Zip | 77020-8633
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Country | US
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Telephone | 713-226-7550
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Fax | 713-226-7541
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Provider Business Mailing Address
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Address Line | 4113 HARE ST
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City | HOUSTON
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State | TX
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Zip | 77020-8633
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Country | US
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Telephone | 713-226-7550
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Fax | 713-226-7541
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Authorized Official
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Title or Position | CEO
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Name | BELVA J TATUM
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Credential | MATURE FEMALE
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Telephone | 713-222-0868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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