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NPI 1508152307

NPI 1508152307 : ELINOR ARACELY RODRIGUEZ MD : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1508152307
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    Entity Type          |    Individual 
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    Provider Name        |    ELINOR ARACELY RODRIGUEZ MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/21/2011
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    Last Update Date     |    01/25/2017
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Provider Practice Location Address
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    Address Line         |    11399 LAKE UNDERHILL RD 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32825-5023
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    Country              |    US
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    Telephone            |    407-207-6768
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    Fax                  |    407-249-5025
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Provider Business Mailing Address
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    Address Line         |    11399 LAKE UNDERHILL RD 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32825-5023
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    Country              |    US
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    Telephone            |    407-207-6768
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    Fax                  |    407-249-5025
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    ME123462
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    License Number State |    FL
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