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General NPI Number Information
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NPI Number | 1265747232
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Entity Type | Individual
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Provider Name | FELIPE DE JESUS GASCON-RODON MD
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Gender | Male
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 13400 SW 10TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1833
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Country | US
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Telephone | 954-900-1466
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Fax | 954-900-1553
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Provider Business Mailing Address
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Address Line | 13400 SW 10TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1833
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Country | US
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Telephone | 954-900-1466
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Fax | 954-900-1553
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME118164
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME118164
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License Number State | FL
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