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General NPI Number Information
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NPI Number | 1235179706
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Entity Type | Individual
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Provider Name | GERMAINE RODRIGUEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 05/28/2019
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Provider Practice Location Address
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Address Line | 90 ALTON RD PH 33130
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City | MIAMI BEACH
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State | FL
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Zip | 33139-6707
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Country | US
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Telephone | 305-532-4510
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Fax | 305-722-3625
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Provider Business Mailing Address
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Address Line | 81 N HIBISCUS DR
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City | MIAMI BEACH
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State | FL
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Zip | 33139-5117
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Country | US
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Telephone | 786-553-4510
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Fax | 305-722-3625
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME70893
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | ME70893
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | ME70893
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License Number State | FL
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