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General NPI Number Information
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NPI Number | 1124362942
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Entity Type | Individual
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Provider Name | VANIELY RODRIGUEZ D.M.D
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Gender | Female
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Dates
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Enumeration Date | 11/16/2012
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | STREET AGUAS BUENAS BUZON 1413 URB. LAS CASCADAS
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City | TOA ALTA
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State | PR
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Zip | 00953-3200
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Country | US
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Telephone | 787-528-4321
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE AGUAS BUENAS BUZON 1413 URB.LAS CASCADAS
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City | TOA ALTA
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State | PR
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Zip | 00953-3200
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Country | US
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Telephone | 787-528-4321
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2897
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License Number State | PR
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