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General NPI Number Information
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NPI Number | 1073882924
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Entity Type | Organization
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Legal Business Name | RENE RODRIGUEZ DMD, PC.
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 12/21/2011
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Provider Practice Location Address
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Address Line | 11682 SOUTHWEST FWY
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City | HOUSTON
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State | TX
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Zip | 77031-3612
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Country | US
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Telephone | 281-741-2576
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Fax |
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Provider Business Mailing Address
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Address Line | 11682 SOUTHWEST FWY
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City | HOUSTON
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State | TX
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Zip | 77031-3612
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Country | US
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Telephone | 281-741-2576
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. RENE ALEJANDRO RODRIGUEZ FARRACH
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Credential | D.M.D
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Telephone | 832-457-4051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 26467
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License Number State | TX
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