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General NPI Number Information
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NPI Number | 1841532355
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Entity Type | Individual
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Provider Name | EDWARD RODRIGUEZ PHARM D. CPH
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Gender | Male
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Dates
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Enumeration Date | 03/22/2013
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 4937 NW 106TH AVE
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-2709
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Country | US
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Telephone | 965-753-9595
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Fax | 866-385-0485
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Provider Business Mailing Address
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Address Line | 4937 NW 106TH AVE
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-2709
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Country | US
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Telephone | 965-753-9595
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Fax | 866-385-0485
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PU5716
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License Number State | FL
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