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General NPI Number Information
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NPI Number | 1023055340
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Entity Type | Individual
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Provider Name | REYNALDO RODRIGUEZ DO
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 3601 SPRINGHILL BUSINESS PARK
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City | MOBILE
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State | AL
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Zip | 36608-1256
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Country | US
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Telephone | 251-873-6192
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Fax | 251-873-6193
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Provider Business Mailing Address
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Address Line | 480 HONEYSUCKLE RD
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City | DOTHAN
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State | AL
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Zip | 36305-1156
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Country | US
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Telephone | 334-836-1212
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Fax | 334-836-1888
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | DO-510
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License Number State | AL
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