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General NPI Number Information
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NPI Number | 1275911745
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Entity Type | Individual
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Provider Name | ELIEZER DAVID RODRIGUEZ M.D
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Gender | Male
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Dates
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Enumeration Date | 05/15/2015
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | NAVY MEDICINE OPERATIONAL TRAINING COMMAND 220 HOVEY ROAD
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City | PENSACOLA
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State | FL
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Zip | 32508-1047
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Country | US
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Telephone | 850-452-9484
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Fax |
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Provider Business Mailing Address
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Address Line | NAVY MEDICINE OPERATIONAL TRAINING CENTER 220 HOVEY ROAD
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City | PENSACOLA
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State | FL
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Zip | 32508-1047
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Country | US
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Telephone | 850-452-9484
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101261995
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 0101261995
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License Number State | VA
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