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General NPI Number Information
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NPI Number | 1538277090
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Entity Type | Individual
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Provider Name | SANDRA ISABEL RODRIGUEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/26/2006
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1507 BILL BECK BLVD
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City | KISSIMMEE
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State | FL
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Zip | 34744-9516
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Country | US
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Telephone | 407-943-8600
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Fax | 833-464-3650
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Provider Business Mailing Address
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Address Line | 1503 BILL BECK BLVD
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City | KISSIMMEE
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State | FL
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Zip | 34744-9516
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Country | US
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Telephone | 407-943-8618
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Fax | 833-464-3650
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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 | A90195
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME108407
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License Number State | FL
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