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General NPI Number Information
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NPI Number | 1689625741
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Entity Type | Individual
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Provider Name | JAIRO RODRIGUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 893 S SAM HOUSTON BLVD STE B
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City | SAN BENITO
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State | TX
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Zip | 78586-3062
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Country | US
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Telephone | 956-626-2500
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Fax | 956-626-2503
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Provider Business Mailing Address
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Address Line | PO BOX 532201
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City | HARLINGEN
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State | TX
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Zip | 78553-2201
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Country | US
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Telephone | 956-428-7862
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Fax | 956-440-0395
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K8460
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | K8460
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License Number State | TX
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