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General NPI Number Information
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NPI Number | 1508921172
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Entity Type | Individual
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Provider Name | EUGENIO RODRIGUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 10/06/2015
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Provider Practice Location Address
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Address Line | 5130 LINTON BLVD SUITE E-2
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6596
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Country | US
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Telephone | 561-330-4695
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Fax | 561-330-4696
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Provider Business Mailing Address
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Address Line | PO BOX 9816
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City | CORAL SPRINGS
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State | FL
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Zip | 33075-0816
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Country | US
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Telephone | 561-330-4695
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Fax | 561-330-4696
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME0061779
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License Number State | FL
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