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General NPI Number Information
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NPI Number | 1417457714
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Entity Type | Organization
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Legal Business Name | DR JOSE T APONTE RODRIGUEZ MD PC
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Dates
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Enumeration Date | 02/14/2018
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 1870 GRAND CONCOURSE FL 3
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City | BRONX
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State | NY
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Zip | 10457-5402
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Country | US
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Telephone | 646-207-1043
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Fax |
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Provider Business Mailing Address
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Address Line | 1870 GRAND CONCOURSE FL 3
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City | BRONX
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State | NY
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Zip | 10457-5402
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Country | US
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Telephone | 347-205-8280
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Fax | 347-205-8998
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Authorized Official
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Title or Position | ATTENDING PHYSICIAN
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Name | DR. JOSE TOMAS APONTE RODRIGUEZ
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Credential | MD
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Telephone | 646-207-1043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 253155
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License Number State | NY
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