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General NPI Number Information
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NPI Number | 1073771028
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Entity Type | Individual
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Provider Name | CELSO A RODRIGUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 1710 E SAUNDERS ST # B-490
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City | LAREDO
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State | TX
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Zip | 78041-5443
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Country | US
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Telephone | 787-298-9423
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 E SAUNDERS ST # B-490
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City | LAREDO
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State | TX
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Zip | 78041-5443
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Country | US
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Telephone | 956-724-4799
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Fax | 956-725-7199
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | N3276
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License Number State | TX
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