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General NPI Number Information
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NPI Number | 1548451859
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Entity Type | Individual
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Provider Name | HARRY ALVERIO RODRIGUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 02/22/2013
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Provider Practice Location Address
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Address Line | GO 5 AVE CAMPO RICO COUNTRY CLUB
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City | CAROLINA
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State | PR
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Zip | 00982-2678
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Country | US
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Telephone | 787-762-3572
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Fax |
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Provider Business Mailing Address
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Address Line | 4K35 CALLE 214 COLINAS DE FAIR VIEW
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-8247
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Country | US
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Telephone | 787-354-8726
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 17061
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License Number State | PR
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