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General NPI Number Information
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NPI Number | 1821559014
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Entity Type | Individual
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Provider Name | DAVID RODRIGUES
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Gender | Male
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Dates
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Enumeration Date | 03/29/2019
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 3811 CERRILLOS RD STE 101
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City | SANTA FE
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State | NM
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Zip | 87507-4150
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Country | US
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Telephone | 505-471-9612
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Fax |
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Provider Business Mailing Address
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Address Line | 27777 INKSTER RD
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-5326
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Country | US
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Telephone | 248-436-4482
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HAD0955
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License Number State | NM
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