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General NPI Number Information
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NPI Number | 1811577489
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Entity Type | Individual
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Provider Name | STEVEN CYRUS RODRIGUEZ DO
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Gender | Male
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Dates
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Enumeration Date | 04/08/2021
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 200 EVANS ST
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City | UVALDE
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State | TX
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Zip | 78801-5142
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Country | US
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Telephone | 830-278-7105
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Fax | 830-278-1941
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Provider Business Mailing Address
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Address Line | 908 EVANS ST STE A
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City | UVALDE
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State | TX
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Zip | 78801-6052
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Country | US
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Telephone | 830-278-5604
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Fax | 830-278-1836
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | V1875
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License Number State | TX
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