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General NPI Number Information
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NPI Number | 1063511194
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Entity Type | Individual
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Provider Name | LOUIS RODRIGUES MD, MPH, FAAP
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 435 BROADWAY
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City | MONTICELLO
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State | NY
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Zip | 12701-1738
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Country | US
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Telephone | 845-796-2500
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Fax | 845-796-2501
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Provider Business Mailing Address
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Address Line | 17 SUNSET DR
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City | MONTICELLO
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State | NY
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Zip | 12701-4515
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Country | US
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Telephone | 845-791-6708
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 086006
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 086006
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License Number State | NY
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