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General NPI Number Information
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NPI Number | 1649563966
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Entity Type | Individual
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Provider Name | LIZAMARIE BACHIER-RODRIGUEZ MD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2011
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 3400 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4206
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Country | US
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Telephone | 215-662-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 5670 PEACHTREE DUNWOODY RD STE 1000
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City | ATLANTA
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State | GA
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Zip | 30342-4790
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Country | US
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Telephone | 404-255-1930
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Fax | 678-538-1718
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT199434
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 89377
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT199434
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License Number State | PA
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