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General NPI Number Information
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NPI Number | 1548003361
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Entity Type | Individual
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Provider Name | RUDY RODRIGUEZ EZCURDIA
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Gender | Male
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Dates
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Enumeration Date | 06/18/2024
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 8330 NW 7TH ST APT 140
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City | MIAMI
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State | FL
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Zip | 33126-3928
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Country | US
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Telephone | 786-448-3901
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Fax | 786-758-5026
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Provider Business Mailing Address
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Address Line | 330 SW 27TH AVE STE 307
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City | MIAMI
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State | FL
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Zip | 33135-2957
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Country | US
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Telephone | 786-762-2644
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Fax | 305-456-3889
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11033461
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License Number State | FL
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