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General NPI Number Information
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NPI Number | 1841290749
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Entity Type | Individual
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Provider Name | JESUS GUILLERMO RODRIGUEZ MD
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Gender | Male
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 11/07/2017
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Provider Practice Location Address
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Address Line | 5400 PINEMONT DR STE 108
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City | HOUSTON
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State | TX
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Zip | 77092-3400
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Country | US
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Telephone | 713-263-7483
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Fax | 713-263-7484
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Provider Business Mailing Address
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Address Line | 5400 PINEMONT DR STE 108
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City | HOUSTON
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State | TX
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Zip | 77092-3400
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Country | US
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Telephone | 713-263-7483
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Fax | 713-263-7484
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | J4999
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | J4999
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License Number State | TX
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