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General NPI Number Information
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NPI Number | 1912930744
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Entity Type | Individual
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Provider Name | JESUS N RODRIGUEZ ANGULO MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 11/16/2024
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Provider Practice Location Address
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Address Line | 45 NW 8TH ST STE 110
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City | HOMESTEAD
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State | FL
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Zip | 33030-4452
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Country | US
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Telephone | 305-248-1900
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Fax | 305-248-1902
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Provider Business Mailing Address
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Address Line | 10980 SW 25TH ST
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City | MIAMI
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State | FL
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Zip | 33165
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Country | US
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Telephone | 305-310-1648
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Fax | 304-220-6776
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | ME50088
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME50088
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License Number State | FL
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