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General NPI Number Information
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NPI Number | 1770554669
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Entity Type | Individual
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Provider Name | HECTOR J RODRIGUEZ M.D.,
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 1125 S BEVERLY DR STE 425
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City | LOS ANGELES
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State | CA
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Zip | 90035-1192
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Country | US
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Telephone | 310-274-7300
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Fax | 310-274-7301
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Provider Business Mailing Address
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Address Line | 1125 S BEVERLY DR STE 425
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City | LOS ANGELES
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State | CA
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Zip | 90035-1192
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Country | US
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Telephone | 310-274-7300
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Fax | 310-742-7301
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A29728
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License Number State | CA
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