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General NPI Number Information
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NPI Number | 1396132767
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Entity Type | Individual
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Provider Name | KEILA RODRIGUEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 6500 N 10TH ST STE C
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City | MCALLEN
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State | TX
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Zip | 78504-2114
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Country | US
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Telephone | 956-833-2142
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Fax | 888-440-5768
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Provider Business Mailing Address
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Address Line | 6500 N 10TH ST STE C
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City | MCALLEN
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State | TX
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Zip | 78504-2114
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Country | US
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Telephone | 956-296-1960
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | R6663
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License Number State | TX
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