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General NPI Number Information
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NPI Number | 1447069893
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Entity Type | Organization
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Legal Business Name | ROLANDO RODRIGUEZ MD PA
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 204 E 26TH ST
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City | LITTLEFIELD
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State | TX
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Zip | 79339-5605
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Country | US
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Telephone | 806-385-6424
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Fax |
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Provider Business Mailing Address
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Address Line | 204 E 26TH ST
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City | LITTLEFIELD
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State | TX
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Zip | 79339-5605
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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 | MD
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Name | ROLANDO RODRIGUEZ
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Credential |
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Telephone | 806-385-6424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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