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General NPI Number Information
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NPI Number | 1538693833
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Entity Type | Individual
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Provider Name | SHAINA RODRIGUES
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Gender | Female
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 5601 LOCH RAVEN BLVD
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City | BALTIMORE
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State | MD
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Zip | 21239-2950
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Country | US
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Telephone | 443-444-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 2461 8TH ST
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City | FORT LEE
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State | NJ
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Zip | 07024-3521
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Country | US
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Telephone | 201-328-7324
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD049314
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | D0101640
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License Number State | MD
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