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General NPI Number Information
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NPI Number | 1134891880
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Entity Type | Organization
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Legal Business Name | VITHYA RODRIGUEZ, M.D., PLLC
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Dates
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Enumeration Date | 10/01/2021
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 20 MUZZEY ST STE 3
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City | LEXINGTON
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State | MA
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Zip | 02421-5212
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Country | US
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Telephone | 617-340-9732
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Fax |
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Provider Business Mailing Address
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Address Line | 10 ELDOR DR
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City | SOUTH WALPOLE
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State | MA
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Zip | 02071-1020
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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 | OWNER
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Name | VITHYA RODRIGUEZ
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Credential | MD
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Telephone | 617-340-9732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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