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NPI 1700597879

NPI 1700597879 : ANGELA M RODRIGUEZ INC : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1700597879
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANGELA M RODRIGUEZ INC 
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Dates
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    Enumeration Date     |    12/09/2022
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    Last Update Date     |    01/05/2026
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Provider Practice Location Address
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    Address Line         |    2100 WEBSTER ST STE 416 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94115-2379
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    Country              |    US
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    Telephone            |    520-909-4196
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    Fax                  |    415-228-6882
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Provider Business Mailing Address
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    Address Line         |    2100 WEBSTER ST STE 416 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94115-2379
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    Country              |    US
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    Telephone            |    415-680-1120
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    Fax                  |    415-480-2042
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Authorized Official
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    Title or Position    |    BUSINESS MANAGER
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    Name                 |     CRISTINA  MORENO 
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    Credential           |    
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    Telephone            |    530-902-3884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208200000X
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    Taxonomy Name        |    Plastic Surgery Physician
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    License Number       |    
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    License Number State |    
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