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General NPI Number Information
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NPI Number | 1033346994
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Entity Type | Organization
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Legal Business Name | LEONEL L RODRIGUEZ MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 205 N 1ST ST STE C
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City | BLYTHE
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State | CA
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Zip | 92225-1777
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Country | US
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Telephone | 760-922-8330
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Fax | 760-922-8320
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Provider Business Mailing Address
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Address Line | 205 N 1ST ST STE C
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City | BLYTHE
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State | CA
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Zip | 92225-1777
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Country | US
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Telephone | 760-922-8330
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Fax | 760-922-8320
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. LEONEL LAMON RODRIGUEZ
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Credential | MD
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Telephone | 760-922-8330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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