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General NPI Number Information
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NPI Number | 1932085776
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Entity Type | Individual
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Provider Name | HAROLD OMAR RODRIGUEZ TH
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Gender | Male
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1349 CALLE SALUD
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City | PONCE
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State | PR
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Zip | 00717-2017
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Country | US
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Telephone | 787-840-7747
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Fax |
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Provider Business Mailing Address
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Address Line | BARRIADA MARIANI CALLE OESTE 2503A
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City | PONCE
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State | PR
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Zip | 00717-0121
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Country | US
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Telephone | 787-202-1747
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 4115
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License Number State | PR
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