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General NPI Number Information
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NPI Number | 1124454780
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Entity Type | Organization
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Legal Business Name | AIXA RODRIGUEZ REGENERATIVE MEDICINE & INFUSION CENTER
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Dates
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Enumeration Date | 09/16/2013
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Last Update Date | 09/16/2013
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Provider Practice Location Address
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Address Line | 17 CALLE LAS PALMAS PASEO DE DORADO
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City | DORADO
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State | PR
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Zip | 00646-2041
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Country | US
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Telephone | 787-884-8071
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Fax |
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Provider Business Mailing Address
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Address Line | 17 CALLE LAS PALMAS PASEO DE DORADO
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City | DORADO
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State | PR
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Zip | 00646-2041
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Country | US
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Telephone | 787-884-8071
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AIXA RODRIGUEZ
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Credential | M.D.
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Telephone | 787-884-8071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 10800
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License Number State | PR
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