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General NPI Number Information
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NPI Number | 1790693851
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Entity Type | Individual
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Provider Name | ALYSSA RODRIGUEZ-URICH
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Gender | Female
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 9320 US HIGHWAY 301 S STE 350
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City | RIVERVIEW
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State | FL
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Zip | 33578-6300
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Country | US
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Telephone | 813-328-2073
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Fax |
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Provider Business Mailing Address
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Address Line | 8615 MALLARD RESERVE DR UNIT 102
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City | TAMPA
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State | FL
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Zip | 33614-2341
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Country | US
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Telephone | 813-927-1447
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9122214
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License Number State | FL
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