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General NPI Number Information
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NPI Number | 1710485826
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Entity Type | Individual
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Provider Name | JOSEPH RODRIGUEZ RPT
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Gender | Male
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Dates
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Enumeration Date | 01/24/2018
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 17987 SW 8TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4403
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Country | US
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Telephone | 786-346-4386
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Fax | 954-450-9603
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Provider Business Mailing Address
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Address Line | 17987 SW 8TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4403
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Country | US
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Telephone | 954-450-9603
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Fax | 954-450-9603
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT7864
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License Number State | FL
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