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General NPI Number Information
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NPI Number | 1316903404
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Entity Type | Individual
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Provider Name | RICHARD AARON RODRIGUEZ MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 102 PALO ALTO RD SUITE 450
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City | SAN ANTONIO
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State | TX
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Zip | 78211-3772
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Country | US
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Telephone | 210-922-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 102 PALO ALTO RD STE 450
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City | SAN ANTONIO
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State | TX
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Zip | 78211-3782
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Country | US
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Telephone | 210-922-0555
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | F1946
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | F1946
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License Number State | TX
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