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General NPI Number Information
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NPI Number | 1265959266
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Entity Type | Individual
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Provider Name | NORBERTO RODRIGUEZ SR. ARNP
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Gender | Male
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 887 NW 132ND AVE WEST
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City | MIAMI
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State | FL
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Zip | 33182
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Country | US
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Telephone | 786-942-0375
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Fax | 786-773-3103
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Provider Business Mailing Address
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Address Line | 887 NW 132ND AVE W
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City | MIAMI
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State | FL
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Zip | 33182-2312
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Country | US
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Telephone | 786-942-0375
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Fax | 786-773-3103
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9248527
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License Number State | FL
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