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General NPI Number Information
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NPI Number | 1811399793
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Entity Type | Individual
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Provider Name | EVANY RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 4302 ALTON RD MSOP BUILDING, SUITE 540
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2891
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Country | US
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Telephone | 305-674-2499
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Fax |
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Provider Business Mailing Address
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Address Line | 5431 SW 130TH AVE
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City | MIRAMAR
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State | FL
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Zip | 33027-5408
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN9325479
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License Number State | FL
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