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General NPI Number Information
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NPI Number | 1861063083
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Entity Type | Individual
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Provider Name | JONATHAN PIERRE RODRIGUEZ MBBS
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Gender | Male
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Dates
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Enumeration Date | 07/08/2021
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 200 W ARBOR DR
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City | SAN DIEGO
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State | CA
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Zip | 92103-9000
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Country | US
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Telephone | 800-926-8273
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Fax | 888-539-8781
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Provider Business Mailing Address
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Address Line | FILE 57326
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City | LOS ANGELES
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State | CA
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Zip | 90074-7326
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Country | US
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Telephone | 800-926-8273
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | A202376
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License Number State | CA
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