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General NPI Number Information
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NPI Number | 1578688784
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Entity Type | Individual
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Provider Name | ROSENDO ERNESTO RODRIGUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 13768 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33184-3030
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Country | US
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Telephone | 305-851-6906
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Fax |
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Provider Business Mailing Address
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Address Line | 680 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6738
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Country | US
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Telephone | 305-262-1610
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME133374
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License Number State | FL
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