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General NPI Number Information
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NPI Number | 1053028605
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Entity Type | Individual
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Provider Name | ALFREDO RODRIGUEZ APRN
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Gender | Male
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 2600 INDUSTRIAL PARK DR
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City | LAKELAND
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State | FL
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Zip | 33801-7135
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Country | US
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Telephone | 863-666-6100
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Fax | 863-583-9876
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Provider Business Mailing Address
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Address Line | 2600 INDUSTRIAL PARK DR
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City | LAKELAND
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State | FL
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Zip | 33801-7135
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Country | US
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Telephone | 863-666-6100
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Fax | 863-583-9876
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11022785
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License Number State | FL
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