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NPI 1003972548

NPI 1003972548 : RODNEY P COE MD, MS : BAYSIDE, NY

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General NPI Number Information
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    NPI Number           |    1003972548
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    Entity Type          |    Individual 
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    Provider Name        |    RODNEY P COE MD, MS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/29/2006
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    Last Update Date     |    11/10/2023
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Provider Practice Location Address
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    Address Line         |    2391 BELL BLVD STE 204 
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    City                 |    BAYSIDE
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    State                |    NY
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    Zip                  |    11360-2019
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    Country              |    US
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    Telephone            |    646-828-8660
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    Fax                  |    718-764-6296
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Provider Business Mailing Address
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    Address Line         |    2391 BELL BLVD STE 204 
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    City                 |    BAYSIDE
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    State                |    NY
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    Zip                  |    11360-2019
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    Country              |    US
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    Telephone            |    646-828-8660
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    Fax                  |    718-764-6296
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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        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    250262
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    MD439574
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    207WX0107X
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    Taxonomy Name        |    Retina Specialist (Ophthalmology) Physician
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    License Number       |    250262
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    License Number State |    NY
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