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General NPI Number Information
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NPI Number | 1306321955
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Entity Type | Individual
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Provider Name | MERLYN RODRIGUEZ APRN
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Gender | Female
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Dates
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Enumeration Date | 09/29/2018
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 743 NE 167TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2404
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Country | US
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Telephone | 305-957-0017
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Fax | 786-629-3922
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Provider Business Mailing Address
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Address Line | 6100 BLUE LAGOON DR STE 365
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City | MIAMI
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State | FL
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Zip | 33126-7010
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Country | US
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Telephone | 786-322-7333
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9366871
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License Number State | FL
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