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General NPI Number Information
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NPI Number | 1871531269
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Entity Type | Individual
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Provider Name | ALLAN J RODRIGUES MD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 136 SHERMAN AVE SUITE 205
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City | NEW HAVEN
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State | CT
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Zip | 06511-5238
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Country | US
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Telephone | 203-787-5115
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Fax | 203-787-9736
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Provider Business Mailing Address
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Address Line | 136 SHERMAN AVE SUITE 205
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City | NEW HAVEN
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State | CT
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Zip | 06511-5238
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Country | US
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Telephone | 203-787-5115
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Fax | 203-787-9736
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 033716
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 033716
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 033716
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 33716
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License Number State | CT
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