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General NPI Number Information
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NPI Number | 1093374183
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Entity Type | Individual
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Provider Name | ALEJANDRO ENRIQUE RODULFO RODRIGUEZ MD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 3440 HOLLYWOOD BLVD STE 360
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6934
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Country | US
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Telephone | 954-276-9240
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Fax | 954-276-0103
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Provider Business Mailing Address
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Address Line | 2900 CORPORATE WAY DOOR D
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City | MIRAMAR
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State | FL
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Zip | 33025-6818
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Country | US
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Telephone | 954-276-5603
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Fax | 954-985-7074
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME162919
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License Number State | FL
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