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General NPI Number Information
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NPI Number | 1154797181
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Entity Type | Organization
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Legal Business Name | ALBERT I RODRIGUEZ MD PLLC
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 2828 S SEACREST BLVD 210
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7944
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Country | US
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Telephone | 561-369-7644
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Fax | 561-369-3471
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Provider Business Mailing Address
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Address Line | 2828 S SEACREST BLVD 210
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7944
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Country | US
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Telephone | 561-369-7644
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALBERT I RODRIGUEZ
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Credential | MD
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Telephone | 561-369-7644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME62405
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME62405
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License Number State | FL
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