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General NPI Number Information
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NPI Number | 1740478528
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Entity Type | Individual
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Provider Name | WILLIAM B RODRIGUEZ APRN
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Gender | Male
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 2450 SW 137 AVE SUITE 213
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City | MIAMI
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State | FL
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Zip | 33175-3317
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Country | US
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Telephone | 305-491-7816
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Fax |
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Provider Business Mailing Address
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Address Line | 5434 SW 8TH ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-2267
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Country | US
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Telephone | 305-444-8676
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Fax | 305-444-5181
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 5428
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11006638
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License Number State | FL
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