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General NPI Number Information
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NPI Number | 1255471868
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Entity Type | Organization
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Legal Business Name | R & R CLINICAL & MEDICAL CORP
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 03/03/2020
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Provider Practice Location Address
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Address Line | 1403 N FAIR OAKS AVE SUITE 3
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City | PASADENA
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State | CA
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Zip | 91103-1858
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Country | US
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Telephone | 626-398-0354
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Fax | 626-398-0357
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Provider Business Mailing Address
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Address Line | 1403 N FAIR OAKS AVE SUITE 3
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City | PASADENA
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State | CA
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Zip | 91103-1858
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Country | US
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Telephone | 626-398-0354
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Fax | 626-398-0357
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Authorized Official
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Title or Position | DIRECTOR
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Name | CARLOS RODRIGUEZ
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Credential | MD
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Telephone | 626-398-0354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A56502
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License Number State | CA
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