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General NPI Number Information
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NPI Number | 1205805876
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Entity Type | Individual
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Provider Name | MARIBEL NOBLE RODRIGUEZ MD
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Gender | Female
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | EMERGENCY ROOM PANA HOSPITAL
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City | SAN JUAN
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State | PR
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Zip | 00910
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Country | US
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Telephone | 787-727-0101
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Fax |
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Provider Business Mailing Address
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Address Line | LIZZIE GRAHM HG 12 SEVENTH HEHA LWITTIAN LIKES TOA BZI PR
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City | TOA BZI
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-261-2417
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 14650
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License Number State | PR
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