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General NPI Number Information
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NPI Number | 1982605374
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Entity Type | Individual
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Provider Name | ERIC F ROEHM MD
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Gender | Male
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7200 WYOMING SPGS STE 1400, AUSTIN HEART, ROUND ROCK #1
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City | ROUND ROCK
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State | TX
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Zip | 78681-4303
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Country | US
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Telephone | 512-244-2263
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Fax | 512-244-0846
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Provider Business Mailing Address
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Address Line | PO BOX 4189 AUSTIN HEART
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City | AUSTIN
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State | TX
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Zip | 78765-4189
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Country | US
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Telephone | 512-206-4300
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Fax | 512-206-4350
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | F4441
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License Number State | TX
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