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General NPI Number Information
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NPI Number | 1427743004
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Entity Type | Individual
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Provider Name | YURI ALEJANDRO RODRIGUEZ HERNANDEZ
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Gender | Male
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 7031 SW 62ND AVE
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4701
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Country | US
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Telephone | 305-284-7761
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Fax |
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Provider Business Mailing Address
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Address Line | 1810 W 56TH ST APT 3408
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City | HIALEAH
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State | FL
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Zip | 33012-7322
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Country | US
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Telephone | 786-302-5514
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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