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General NPI Number Information
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NPI Number | 1144545617
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Entity Type | Individual
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Provider Name | OMAR PEREZ RODRIGUEZ M.D,
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Gender | Male
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Dates
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Enumeration Date | 03/28/2010
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 1710 E SAUNDERS ST SUITE B490
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City | LAREDO
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State | TX
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Zip | 78041-5443
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Country | US
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Telephone | 956-724-4799
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Fax | 956-725-7199
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Provider Business Mailing Address
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Address Line | 1710 E SAUNDERS ST STE B490
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City | LAREDO
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State | TX
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Zip | 78041-5471
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Country | US
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Telephone | 956-724-4799
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD70063691
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | P7535
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License Number State | TX
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