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General NPI Number Information
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NPI Number | 1285106005
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Entity Type | Organization
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Legal Business Name | DANIELLA RODRIGUEZ-RICO M.D. PA
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Dates
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Enumeration Date | 12/18/2018
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 4716 S JACKSON RD
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City | EDINBURG
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State | TX
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Zip | 78539-6199
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Country | US
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Telephone | 956-299-2222
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Fax | 956-378-9974
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Provider Business Mailing Address
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Address Line | 4716 S JACKSON RD
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City | EDINBURG
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State | TX
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Zip | 78539-6199
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Country | US
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Telephone | 956-299-2222
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Fax | 956-956-3789
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Authorized Official
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Title or Position | MD OWNER
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Name | DANIELLA RODRIGUEZ-RICO
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Credential | MD
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Telephone | 956-299-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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