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General NPI Number Information
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NPI Number | 1447599527
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Entity Type | Organization
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Legal Business Name | STAT HOSPITALIST LLC
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Dates
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Enumeration Date | 02/08/2013
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Last Update Date | 02/08/2013
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 786-471-3417
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Fax | 305-223-9126
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Provider Business Mailing Address
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Address Line | 14471 SW 42ND ST 107
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City | MIAMI
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State | FL
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Zip | 33175-7818
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Country | US
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Telephone | 786-471-3417
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Fax | 305-223-9126
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Authorized Official
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Title or Position | OWNER
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Name | ORLANDO DAVID RODRIGUEZ
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Credential | MD
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Telephone | 305-471-3417
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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 |
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License Number State |
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