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General NPI Number Information
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NPI Number | 1174665202
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Entity Type | Individual
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Provider Name | JOSE M RODRIGUEZ RODRIGUEZ MD.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 10/06/2009
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Provider Practice Location Address
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Address Line | AVENIDA JOSE DE DIEGO NUM 32 ALTOS
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City | ARECIBO
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State | PR
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Zip | 00612
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Country | US
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Telephone | 787-878-2658
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Fax | 787-879-9286
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Provider Business Mailing Address
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Address Line | PO BOX 897
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City | ARECIBO
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State | PR
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Zip | 00613-0897
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Country | US
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Telephone | 787-878-2658
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Fax | 787-879-9286
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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 | 3534
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License Number State | PR
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