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General NPI Number Information
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NPI Number | 1144479114
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Entity Type | Individual
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Provider Name | LUCILA RODRIGUEZ MD
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Gender | Female
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 1321 NW 13TH ST CHS (7TH FLOOR)
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City | MIAMI
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State | FL
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Zip | 33125-1603
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Country | US
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Telephone | 786-263-4131
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Fax | 784-263-4442
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Provider Business Mailing Address
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Address Line | 10441 SW 21ST ST
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City | MIAMI
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State | FL
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Zip | 33165-7313
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Country | US
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Telephone | 305-551-2323
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME70481
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License Number State | FL
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