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General NPI Number Information
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NPI Number | 1760889711
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Entity Type | Organization
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Legal Business Name | ALBERTH RODRIGUEZ DDS LLC
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Dates
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Enumeration Date | 11/19/2014
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Last Update Date | 11/01/2015
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Provider Practice Location Address
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Address Line | 3900 16TH ST NW SUITE 115
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City | WASHINGTON
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State | DC
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Zip | 20011-8302
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Country | US
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Telephone | 202-595-3512
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Fax | 202-864-0734
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Provider Business Mailing Address
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Address Line | 3900 16TH ST NW SUITE 115
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City | WASHINGTON
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State | DC
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Zip | 20011-8302
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Country | US
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Telephone | 202-595-3512
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Fax | 202-864-0734
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. ALBERTH RODRIGUEZ
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Credential | DDS
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Telephone | 202-595-3512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN1001404
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License Number State | DC
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