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General NPI Number Information
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NPI Number | 1346393360
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Entity Type | Individual
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Provider Name | DUANE A RODRIGUEZ-WINTER MD
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Gender | Male
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Dates
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Enumeration Date | 01/21/2007
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 1125 MORACK DR
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City | TOLEDO
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State | OH
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Zip | 43615-4165
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Country | US
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Telephone | 419-350-0977
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 140368
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City | TOLEDO
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State | OH
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Zip | 43614-0368
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Country | US
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Telephone | 419-350-0977
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35-049161
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G56982
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License Number State | CA
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