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NPI 1649315367

NPI 1649315367 : MIGUEL ANGEL RODRIGUEZ AART : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1649315367
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    Entity Type          |    Individual 
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    Provider Name        |    MIGUEL ANGEL RODRIGUEZ AART
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/20/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1393 SW 1ST ST 210
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33135-2321
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    Country              |    US
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    Telephone            |    305-643-5722
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15330 SW 170TH TER 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33187-6712
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    Country              |    US
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    Telephone            |    305-803-2211
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    Fax                  |    305-643-5728
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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        |    247100000X
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    Taxonomy Name        |    Radiologic Technologist
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    License Number       |    171611
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    License Number State |    FL
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