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General NPI Number Information
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NPI Number | 1871548313
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Entity Type | Individual
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Provider Name | CARMEN MILAGROS RODRIGUEZ RODRIGUEZ MD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 7910 CITRUS GARDEN DR APT 102
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City | TAMPA
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State | FL
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Zip | 33625-2464
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Country | US
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Telephone | 787-424-9038
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Fax |
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Provider Business Mailing Address
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Address Line | 7910 CITRUS GARDEN DR APT 102
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City | TAMPA
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State | FL
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Zip | 33625-2464
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Country | US
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Telephone | 787-424-9038
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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 | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | ME146992
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 7744
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License Number State | PR
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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 | 1017942
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License Number State | MA
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