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General NPI Number Information
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NPI Number | 1730487794
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Entity Type | Individual
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Provider Name | JOEL ABELARDO RODRIGUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2011
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 3103 SE MILITARY DR SUITE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78223-3801
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Country | US
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Telephone | 210-359-0051
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Fax | 888-290-1413
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Provider Business Mailing Address
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Address Line | 3103 SE MILITARY DR SUITE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78223-3801
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Country | US
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Telephone | 210-359-0051
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Fax | 888-290-1413
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2011-00227
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | N6622
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License Number State | TX
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