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General NPI Number Information
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NPI Number | 1093147738
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Entity Type | Individual
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Provider Name | YAQUELIN RODRIGUEZ PA
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Gender | Female
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 300 71ST ST STE 530
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City | MIAMI BEACH
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State | FL
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Zip | 33141-3087
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Country | US
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Telephone | 786-554-2254
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Fax |
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Provider Business Mailing Address
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Address Line | 6161 SUNSET DR
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5045
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Country | US
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Telephone | 305-663-1016
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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