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General NPI Number Information
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NPI Number | 1194165951
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Entity Type | Individual
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Provider Name | KATHERINE RODRIGUEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 1956 CATTLEMEN RD
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City | SARASOTA
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State | FL
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Zip | 34232-6237
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Country | US
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Telephone | 727-946-1568
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Fax | 727-245-0224
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Provider Business Mailing Address
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Address Line | 1956 CATTLEMEN RD
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City | SARASOTA
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State | FL
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Zip | 34232-6237
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Country | US
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Telephone | 727-946-1568
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Fax | 727-245-0224
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME121720
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License Number State | FL
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