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General NPI Number Information
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NPI Number | 1689635195
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Entity Type | Individual
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Provider Name | RAMON RODRIGUEZ III M.D., J.D.
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Gender | Male
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Dates
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Enumeration Date | 04/01/2006
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 1111 E MAIN ST SUITE 1701
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City | RICHMOND
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State | VA
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Zip | 23219-3531
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Country | US
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Telephone | 804-782-0608
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Fax | 804-782-0133
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Provider Business Mailing Address
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Address Line | 1111 E MAIN ST SUITE 1701
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City | RICHMOND
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State | VA
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Zip | 23219-3531
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Country | US
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Telephone | 804-782-0608
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Fax | 804-782-0133
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101223904
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C-8408
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME66807
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License Number State | FL
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