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General NPI Number Information
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NPI Number | 1134238249
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Entity Type | Individual
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Provider Name | ALIGNA I RODRIGUEZ D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | PHV DENTAL CLINIC CMR 442 BOX 103
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City | APO AE
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State | NY
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Zip | 09081
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Country | US
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Telephone | 174-206-7150
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5078
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City | FORT LEE
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State | VA
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Zip | 23801-0078
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Country | US
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Telephone | 804-943-2272
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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 | 11306
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License Number State | MD
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