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General NPI Number Information
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NPI Number | 1356343057
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Entity Type | Individual
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Provider Name | CLARA SILVERIA RODRIGUEZ-IZNAGA MD
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Gender | Female
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 04/07/2009
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Provider Practice Location Address
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Address Line | 4367 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33313-6749
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Country | US
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Telephone | 954-306-3603
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Fax | 954-306-3604
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Provider Business Mailing Address
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Address Line | 1881 WASHINGTON AVE #7H
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City | MIAMI BEACH
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State | FL
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Zip | 33139-7408
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Country | US
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Telephone | 305-984-8382
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Fax | 305-535-1716
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME060941
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License Number State | FL
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