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General NPI Number Information
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NPI Number | 1871858084
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Entity Type | Organization
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Legal Business Name | JOSEPH H. RODD M.D. INC
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 07/13/2012
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Provider Practice Location Address
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Address Line | 20710 S. LEAPWOOD AVE. SUITE B
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City | CARSON
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State | CA
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Zip | 90746
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Country | US
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Telephone | 310-329-2170
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Fax | 310-329-9026
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Provider Business Mailing Address
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Address Line | 20710 S. LEAPWOOD AVE. SUITE B
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City | CARSON
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State | CA
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Zip | 90746
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Country | US
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Telephone | 310-329-2170
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Fax | 310-329-9026
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH H RODD
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Credential | M.D.
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Telephone | 310-329-2170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | A40130
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License Number State | CA
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