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General NPI Number Information
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NPI Number | 1174429864
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Entity Type | Organization
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Legal Business Name | MECNB, LLC
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Dates
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Enumeration Date | 10/19/2026
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Last Update Date | 10/19/2026
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Provider Practice Location Address
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Address Line | 2720 10TH AVE N STE 100
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City | PALM SPRINGS
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State | FL
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Zip | 33461-3100
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Country | US
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Telephone | 954-869-0939
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Fax | 561-540-4430
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Provider Business Mailing Address
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Address Line | 6515 S KANNER HWY
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City | STUART
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State | FL
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Zip | 34997-6330
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Country | US
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Telephone | 772-463-1123
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Fax | 772-463-3072
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Authorized Official
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Title or Position | CEO
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Name | ROBERT RODRIGUEZ
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Credential |
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Telephone | 917-813-8399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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