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General NPI Number Information
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NPI Number | 1881797413
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Entity Type | Organization
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Legal Business Name | MAX E RODRIGUEZ MD INC
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 12/16/2008
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Provider Practice Location Address
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Address Line | 4156 OCEAN DR
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City | OXNARD
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State | CA
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Zip | 93035-3940
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Country | US
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Telephone | 818-632-1535
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Fax |
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Provider Business Mailing Address
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Address Line | 4156 OCEAN DR
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City | OXNARD
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State | CA
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Zip | 93035-3940
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Country | US
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Telephone | 818-632-1535
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Fax |
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. MAX ENRIQUE RODRIGUEZ
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Credential | MD
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Telephone | 818-898-1535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | C34500
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License Number State | CA
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