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General NPI Number Information
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NPI Number | 1780330373
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Entity Type | Individual
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Provider Name | MELANIE RODRIGUEZ PA
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Gender | Female
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 1150 NW 72ND AVE STE 640
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City | MIAMI
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State | FL
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Zip | 33126-1921
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Country | US
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Telephone | 786-497-3444
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Fax | 786-953-6559
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Provider Business Mailing Address
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Address Line | 1150 NW 72ND AVE
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City | MIAMI
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State | FL
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Zip | 33126-1936
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Country | US
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Telephone | 786-497-3444
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Fax | 786-953-6559
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 6030
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9115136
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License Number State | FL
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