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General NPI Number Information
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NPI Number | 1740338466
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Entity Type | Organization
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Legal Business Name | ISIS RODRIGUEZ OD INC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 01/28/2015
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Provider Practice Location Address
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Address Line | 3727 SW 8TH ST SUITE #103
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City | CORAL GABLES
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State | FL
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Zip | 33134-3158
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Country | US
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Telephone | 305-448-3355
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Fax | 305-445-6903
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Provider Business Mailing Address
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Address Line | 3727 SW 8TH ST STE 103
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City | CORAL GABLES
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State | FL
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Zip | 33134-3158
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Country | US
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Telephone | 305-448-3355
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | ISIS RODRIGUEZ
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Credential | OD
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Telephone | 305-448-3355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC004187
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License Number State | FL
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