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General NPI Number Information
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NPI Number | 1740613371
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Entity Type | Individual
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Provider Name | ANTHONY CARL RODRIGUES MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2013
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 115 NORWOOD PARK S STE 106
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City | NORWWOD
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State | MA
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Zip | 02062-4633
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Country | US
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Telephone | 781-352-4777
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Fax | 781-352-4778
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Provider Business Mailing Address
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Address Line | 115 NORWOOD PARK S STE 106
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City | NORWOOD
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State | MA
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Zip | 02062-4633
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Country | US
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Telephone | 781-352-4777
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Fax | 781-352-4778
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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 | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | MD18791
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 241243
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License Number State | MA
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