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General NPI Number Information
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NPI Number | 1154479434
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Entity Type | Individual
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Provider Name | DARIO ALFONSO RODRIGUEZ DDS
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Gender | Male
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 04/29/2011
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Provider Practice Location Address
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Address Line | 1013 LOCKWOOD BLVD #7
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City | OVIEDO
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State | FL
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Zip | 32765-6001
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Country | US
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Telephone | 407-278-0934
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Fax | 407-278-0939
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Provider Business Mailing Address
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Address Line | 4515 BOND LN
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City | OVIEDO
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State | FL
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Zip | 32765-9612
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Country | US
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Telephone | 407-920-1361
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Fax | 407-696-9283
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN12780
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License Number State | FL
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