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NPI 1043706682

NPI 1043706682 : JAMES LUGO RODRIGUEZ MD : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1043706682
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES LUGO RODRIGUEZ MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/06/2018
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    Last Update Date     |    11/23/2025
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Provider Practice Location Address
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    Address Line         |    8303 N STEMMONS FWY STE 100 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75247-4107
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    Country              |    US
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    Telephone            |    214-480-4155
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    Fax                  |    972-634-4816
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Provider Business Mailing Address
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    Address Line         |    8303 N STEMMONS FWY STE 100 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75247-4107
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    Country              |    US
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    Telephone            |    214-480-4155
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    Fax                  |    945-215-4839
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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        |    207QA0505X
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    Taxonomy Name        |    Adult Medicine Physician
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    License Number       |    S9343
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    License Number State |    TX
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