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General NPI Number Information
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NPI Number | 1700311578
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Entity Type | Individual
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Provider Name | NADYA MARCYNE RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 04/28/2017
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 21097 NE 27TH CT STE 205
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City | AVENTURA
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State | FL
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Zip | 33180-1237
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Country | US
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Telephone | 305-682-9877
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Fax | 305-682-1602
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Provider Business Mailing Address
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Address Line | 21097 NE 27TH CT STE 205
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City | AVENTURA
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State | FL
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Zip | 33180-1237
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Country | US
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Telephone | 305-682-9877
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Fax | 305-682-1602
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME166006
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036158671
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License Number State | IL
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