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General NPI Number Information
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NPI Number | 1841554912
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Entity Type | Individual
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Provider Name | RAUL RODRIGUEZ MD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2012
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 428 BILTMORE AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-4502
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Country | US
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Telephone | 828-213-9906
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Fax |
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Provider Business Mailing Address
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Address Line | 1297 CARTERS FERRY RD
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City | HARTWELL
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State | GA
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Zip | 30643-3035
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2010-00858
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD15849
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 027646
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License Number State | GA
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