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1386080513
ROGER VERLA TATA
LAUREL, MD
NPI
1386080513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2013-05-15
Last Update Date
2013-09-04
Business Address
-- ROGER VERLA TATA
3573 LAUREL FORT MEADE RD
LAUREL, MD 20724-2015
Phone number: 443-983-9117
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Mailing Address
-- ROGER VERLA TATA
13004 ENGLISH TURN DR
SILVER SPRING, MD 20904-7303
Phone number: 240-533-1452
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