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General NPI Number Information
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NPI Number | 1043458326
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Entity Type | Individual
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Provider Name | ROGELIO OSCAR BARDINAS RODRIGUEZ MD
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Gender | Male
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Dates
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Enumeration Date | 01/26/2009
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 14255 SW 42ND ST UNIT 13-A
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City | MIAMI
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State | FL
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Zip | 33175-6408
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Country | US
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Telephone | 305-306-3400
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Fax | 305-402-2800
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Provider Business Mailing Address
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Address Line | 3148 SW 143RD PL
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City | MIAMI
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State | FL
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Zip | 33175-7435
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Country | US
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Telephone | 786-201-1548
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Fax | 305-441-9702
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME106246
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License Number State | FL
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