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General NPI Number Information
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NPI Number | 1447483052
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Entity Type | Individual
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Provider Name | DAYRON RODRIGUEZ D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2009
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Last Update Date | 09/03/2010
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Provider Practice Location Address
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Address Line | 975 BAPTIST WAY
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City | HOMESTEAD
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State | FL
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Zip | 33033-7600
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Country | US
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Telephone | 305-219-9956
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Fax |
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Provider Business Mailing Address
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Address Line | 2080 SW 59TH AVE
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City | PLANTATION
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State | FL
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Zip | 33317-5200
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Country | US
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Telephone | 305-219-9956
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | OS 11032
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License Number State | FL
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