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General NPI Number Information
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NPI Number | 1598017741
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Entity Type | Individual
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Provider Name | CHRISTOPHER PETER RODRIGUEZ D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/12/2012
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 3198 SW MARTIN DOWNS BLVD
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City | PALM CITY
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State | FL
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Zip | 34990-2641
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Country | US
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Telephone | 415-602-9421
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Fax |
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Provider Business Mailing Address
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Address Line | 167 OAKWOOD LN
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-1497
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Country | US
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Telephone | 415-602-9421
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 62837
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN24846
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License Number State | FL
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