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General NPI Number Information
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NPI Number | 1396096012
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Entity Type | Individual
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Provider Name | ALEXANDRA RODRIGUEZ LND, RD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2012
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | CALLE 3 AVE 65TH INFANTERIA
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City | CAROLINA
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State | PR
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Zip | 00984
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Country | US
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Telephone | 787-757-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 19-15 CALLE 21
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City | BAYAMON
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State | PR
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Zip | 00961-4517
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Country | US
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Telephone | 787-671-6831
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Fax | 787-771-7426
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 1656
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License Number State | PR
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