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General NPI Number Information
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NPI Number | 1801331392
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Entity Type | Organization
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Legal Business Name | HECTOR R RODRIGUEZ NAVARRO MD
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 12/20/2016
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Provider Practice Location Address
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Address Line | 1025 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10452-9107
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Country | US
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Telephone | 718-681-4242
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Fax | 718-681-7608
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Provider Business Mailing Address
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Address Line | 1025 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10452-9107
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Country | US
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Telephone | 718-681-4242
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Fax | 718-681-7608
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. HECTOR RAFAEL RODRIGUEZ NAVARRO
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Credential | MD
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Telephone | 718-681-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 152348
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License Number State | NY
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