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General NPI Number Information
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NPI Number | 1194984252
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Entity Type | Individual
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Provider Name | ARTEMIO L RODRIGUEZ PA
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Gender | Male
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 10/13/2017
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Provider Practice Location Address
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Address Line | 39000 BOB HOPE DR HAL B WALLIS BLDG
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3221
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Country | US
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Telephone | 760-346-0642
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Fax | 760-340-9152
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Provider Business Mailing Address
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Address Line | 1100 N PALM CANYON DR STE 206
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4426
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Country | US
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Telephone | 760-883-1600
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Fax | 760-520-6644
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA19732
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License Number State | CA
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