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General NPI Number Information
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NPI Number | 1427993526
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Entity Type | Individual
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Provider Name | MR. JOSE URIEL PAGAN RODRIGUEZ
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Gender | Male
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 2906 17TH ST FL 34769
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City | SAINT CLOUD
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State | FL
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Zip | 34769-6006
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Country | US
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Telephone | 407-892-2135
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Fax |
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Provider Business Mailing Address
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Address Line | 431 PINE TREE BRIDGE TRL
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City | SAINT CLOUD
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State | FL
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Zip | 34772-6866
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Country | US
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Telephone |
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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 | 163WG0100X
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Taxonomy Name | Gastroenterology Registered Nurse
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License Number | RN9520130
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 031189
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License Number State | PR
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