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General NPI Number Information
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NPI Number | 1275957862
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Entity Type | Organization
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Legal Business Name | DR. EDWIN F. RODRIGUEZ ALLENDE,CSP
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 202 CALLE JULIO CINTRON EDIFICIO GUAYACAN, OF. 107
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City | AIBONITO
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State | PR
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Zip | 00705-1450
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Country | US
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Telephone | 787-735-1830
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Fax | 787-735-1890
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Provider Business Mailing Address
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Address Line | PO BOX 1450
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City | AIBONITO
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State | PR
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Zip | 00705-1450
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Country | US
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Telephone | 787-735-1830
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Fax | 787-735-1890
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. EDWIN F. RODRIGUEZ
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Credential | MD
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Telephone | 787-462-7559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 11105
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License Number State | PR
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