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General NPI Number Information
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NPI Number | 1124422738
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Entity Type | Organization
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Legal Business Name | RODRIGUEZ DENTAL, PA
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 10/13/2014
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Provider Practice Location Address
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Address Line | 200 SUNNY ISLES BLVD STE 9
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4398
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Country | US
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Telephone | 786-382-7249
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Fax |
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Provider Business Mailing Address
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Address Line | 200 SUNNY ISLES BLVD STE 9
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4398
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANCISCO RODRIGUEZ
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Credential |
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Telephone | 786-629-1503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | FL
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