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General NPI Number Information
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NPI Number | 1831392968
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Entity Type | Organization
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Legal Business Name | GERMAINE RODRIGUEZ M D P A
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 90 ALTON RD PH 3310
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City | MIAMI BEACH
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State | FL
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Zip | 33139-6707
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Country | US
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Telephone | 305-532-4510
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Fax |
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Provider Business Mailing Address
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Address Line | 90 ALTON RD PH 3310
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City | MIAMI BEACH
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State | FL
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Zip | 33139-6707
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Country | US
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Telephone | 305-532-4510
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GERMAINE RODRIGUEZ
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Credential | MD
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Telephone | 786-553-4510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME 70893
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License Number State | FL
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