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General NPI Number Information
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NPI Number | 1518164730
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Entity Type | Individual
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Provider Name | YANIRA RODRIGUEZ O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 22906 US HIGHWAY 281 N SUITE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78258-7368
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Country | US
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Telephone | 210-495-7483
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Fax | 210-497-1206
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Provider Business Mailing Address
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Address Line | 11600 BANDERA RD SUITE 102, PMB 112
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City | SAN ANTONIO
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State | TX
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Zip | 78250-6804
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Country | US
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Telephone | 787-685-8608
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Fax | 210-497-1206
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 7024
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License Number State | TX
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