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General NPI Number Information
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NPI Number | 1346417839
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Entity Type | Individual
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Provider Name | JOVINA RODRIGUEZ O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | OPTICA SEARS PLAZA DEL ESTE SHOPPING CENTER
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City | FAJARDO
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State | PUESRTO RICO
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Zip | 00738
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Country | UM
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Telephone | 787-863-2590
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Fax |
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Provider Business Mailing Address
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Address Line | BARRIO DAGUAO BUZON 738
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City | NAGUABO
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State | PUERTO RICO
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Zip | 00718
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Country | UM
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Telephone | 787-206-2410
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 487
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License Number State | PR
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