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General NPI Number Information
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NPI Number | 1033406970
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Entity Type | Organization
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Legal Business Name | MAGALY A RODRIGUEZ MD PA
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Dates
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Enumeration Date | 06/29/2011
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 11140 SW 88TH ST STE 100
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City | MIAMI
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State | FL
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Zip | 33176-0901
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Country | US
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Telephone | 305-279-1872
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Fax | 305-503-7508
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Provider Business Mailing Address
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Address Line | 11140 SW 88TH ST STE 100
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City | MIAMI
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State | FL
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Zip | 33176-0901
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Country | US
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Telephone | 305-279-1872
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Fax | 305-503-7508
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAGALY A RODRIGUEZ
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Credential | MD PA
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Telephone | 305-279-1872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME71831
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License Number State | FL
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