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General NPI Number Information
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NPI Number | 1841131984
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Entity Type | Individual
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Provider Name | ROBERTO LAZARO RODRIGUEZ BAEZ APRN
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Gender | Male
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 15404 SW 19TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-4302
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Country | US
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Telephone | 407-405-5565
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Fax |
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Provider Business Mailing Address
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Address Line | 15404 SW 19TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-4302
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Country | US
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Telephone | 407-405-5565
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11046500
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License Number State | FL
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