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General NPI Number Information
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NPI Number | 1528066735
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Entity Type | Individual
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Provider Name | JOHN D RODRIGUEZ MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 01/31/2021
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Provider Practice Location Address
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Address Line | 11212 STATE HIGHWAY 151 PLAZA 2 SUITE 240
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4823
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Country | US
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Telephone | 210-632-3411
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Fax |
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Provider Business Mailing Address
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Address Line | 11212 STATE HIGHWAY 151 PLAZA 2 SUITE #240
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City | SAN ANTONIO
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State | TX
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Zip | 78251
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Country | US
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Telephone | 106-323-4112
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | J6703
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License Number State | TX
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