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General NPI Number Information
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NPI Number | 1881604254
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Entity Type | Individual
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Provider Name | DIAREN RODRIGUEZ LMT
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Gender | Female
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4343 W FLAGLER ST SUITE 505
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City | CORAL GABLES
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State | FL
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Zip | 33134-1586
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Country | US
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Telephone | 305-446-1354
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Fax | 305-446-1737
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Provider Business Mailing Address
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Address Line | 15420 SW 297TH TER
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City | HOMESTEAD
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State | FL
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Zip | 33033-3545
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Country | US
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Telephone | 305-446-1354
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Fax | 305-446-1737
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA33909
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License Number State | FL
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