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General NPI Number Information
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NPI Number | 1851693865
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Entity Type | Organization
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Legal Business Name | UBALDO S. RODRIGUEZ, M.D.,P.A.
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 3375 W 4TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-4360
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Country | US
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Telephone | 305-557-4020
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Fax | 305-888-6114
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Provider Business Mailing Address
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Address Line | 3375 W 4TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-4360
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Country | US
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Telephone | 305-557-4020
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Fax | 305-888-6114
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. UBALDO S RODRIGUEZ
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Credential | MD
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Telephone | 305-557-4020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25253
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License Number State | FL
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