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General NPI Number Information
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NPI Number | 1609023670
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Entity Type | Organization
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Legal Business Name | HECTOR S RODRIGUEZ MEDICAL GROUP INC
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 12/12/2017
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Provider Practice Location Address
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Address Line | 4011 WEST FLAGLER ST SUITE 204
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City | MIAMI
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State | FL
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Zip | 33134-2616
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Country | US
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Telephone | 305-774-1234
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Fax | 305-774-1639
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Provider Business Mailing Address
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Address Line | 4011 WEST FLAGLER ST SUITE204
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City | MIAMI
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State | FL
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Zip | 33134-1643
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Country | US
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Telephone | 305-774-1234
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Fax | 305-774-1639
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. HECTOR S RODRIGUEZ
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Credential | M.D.
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Telephone | 305-774-1234
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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 | ME66905
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License Number State | FL
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