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General NPI Number Information
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NPI Number | 1841395316
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Entity Type | Individual
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Provider Name | ROBERTO RODRIGUEZ-CASTILLO MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | 1555 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-3232
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Country | US
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Telephone | 305-248-6666
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Fax | 305-246-9802
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Provider Business Mailing Address
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Address Line | 10860 SW 88TH STREET
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City | MIAMI
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State | FL
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Zip | 33176-2680
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Country | US
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Telephone | 305-595-1300
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Fax | 305-275-8988
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MAO4151100
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License Number State | NJ
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