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General NPI Number Information
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NPI Number | 1336619873
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Entity Type | Individual
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Provider Name | ALVARO RODRIGUEZ DDS
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Gender | Male
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Dates
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Enumeration Date | 11/27/2018
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 26200 GEORGE ZEIGER DR APT 303
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City | BEACHWOOD
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State | OH
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Zip | 44122-7533
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Country | US
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Telephone | 956-789-8222
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Fax |
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Provider Business Mailing Address
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Address Line | 26200 GEORGE ZEIGER DR APT 303
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City | BEACHWOOD
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State | OH
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Zip | 44122-7533
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Country | US
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Telephone | 956-789-8222
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | RES003918
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License Number State | OH
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