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General NPI Number Information
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NPI Number | 1659509719
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Entity Type | Individual
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Provider Name | ELIAS RODRIGUEZ GEORGE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 1214 W SCHUNIOR ST # 2.104
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City | EDINBURG
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State | TX
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Zip | 78541-2337
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Country | US
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Telephone | 956-296-1154
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Fax | 956-296-1290
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Provider Business Mailing Address
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Address Line | PO BOX 531968
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City | HARLINGEN
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State | TX
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Zip | 78553-1968
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Country | US
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Telephone |
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | P7274
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License Number State | TX
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