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NPI 1578594479

NPI 1578594479 : FRANCISCO J RODRIGUEZ MD : BERWYN, IL

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General NPI Number Information
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    NPI Number           |    1578594479
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    Entity Type          |    Individual 
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    Provider Name        |    FRANCISCO J RODRIGUEZ MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/06/2006
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    Last Update Date     |    04/13/2015
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Provider Practice Location Address
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    Address Line         |    3249 OAK PARK AVE ANESTHESIA DEPARTMENT
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    City                 |    BERWYN
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    State                |    IL
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    Zip                  |    60402-3429
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    Country              |    US
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    Telephone            |    708-783-3667
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3998 FAIR RIDGE DR STE 300
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    City                 |    FAIRFAX
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    State                |    VA
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    Zip                  |    22033-2921
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    Country              |    US
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    Telephone            |    703-293-9590
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    Fax                  |    703-766-9725
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    036-097091
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    License Number State |    IL
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