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General NPI Number Information
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NPI Number | 1124092432
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Entity Type | Individual
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Provider Name | RODNEY J LANDRENEAU MD
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Gender | Male
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 5 TAMPA GENERAL CIR STE 860
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City | TAMPA
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State | FL
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Zip | 33606-3573
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Country | US
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Telephone | 813-660-6950
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Fax | 813-660-6622
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Provider Business Mailing Address
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Address Line | PO BOX 1289
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City | TAMPA
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State | FL
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Zip | 33601-1289
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Country | US
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Telephone | 813-660-6950
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Fax | 813-660-6622
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD042702L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | MD042702L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | ME163637
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License Number State | FL
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