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General NPI Number Information
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NPI Number | 1093028938
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Entity Type | Individual
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Provider Name | CARLOS ALBERTO RODRIGUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2010
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Last Update Date | 07/23/2015
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Provider Practice Location Address
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Address Line | 925 NE 30TH TER STE 304
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City | HOMESTEAD
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State | FL
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Zip | 33033-7614
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Country | US
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Telephone | 786-377-2500
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Fax | 786-377-2501
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Provider Business Mailing Address
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Address Line | 925 NE 30TH TER STE 304
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City | HOMESTEAD
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State | FL
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Zip | 33033-7614
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Country | US
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Telephone | 786-377-2500
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Fax | 786-377-2501
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | ME124265
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License Number State | FL
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