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General NPI Number Information
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NPI Number | 1427231034
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Entity Type | Organization
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Legal Business Name | JOHN D. RODRIGUEZ, M.D., P.A.
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 06/03/2009
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Provider Practice Location Address
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Address Line | 540 OAK CENTRE DR SUITE 280
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3936
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Country | US
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Telephone | 210-490-5080
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Fax | 210-490-5889
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Provider Business Mailing Address
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Address Line | 540 OAK CENTRE DR SUITE 280
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3936
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Country | US
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Telephone | 210-490-5080
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Fax | 210-490-5889
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MICHELE SPENCE
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Credential |
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Telephone | 210-490-5080
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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 | J6703
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License Number State | TX
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