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General NPI Number Information
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NPI Number | 1942293972
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Entity Type | Individual
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Provider Name | ALFRED RODRIGUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 12/23/2009
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Provider Practice Location Address
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Address Line | 766 N SUN DR SUITE 3030
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City | LAKE MARY
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State | FL
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Zip | 32746-2552
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Country | US
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Telephone | 407-444-2800
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Fax | 407-444-2810
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Provider Business Mailing Address
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Address Line | 807 S ORLANDO AVE SUITE C
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City | WINTER PARK
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State | FL
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Zip | 32789-4870
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Country | US
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Telephone | 407-894-4693
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Fax | 407-539-0469
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME0061653
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License Number State | FL
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