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General NPI Number Information
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NPI Number | 1477445765
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Entity Type | Individual
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Provider Name | CRISTIAN ANDREW RODRIQUEZ PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2025
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Last Update Date | 07/19/2025
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Provider Practice Location Address
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Address Line | 866 EASTLAKE PKWY
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City | CHULA VISTA
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State | CA
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Zip | 91914-4541
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Country | US
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Telephone | 619-482-8959
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Fax |
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Provider Business Mailing Address
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Address Line | 2393 ORO CT
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City | CHULA VISTA
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State | CA
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Zip | 91915-2254
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 90779
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License Number State | CA
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