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General NPI Number Information
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NPI Number | 1942309596
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Entity Type | Individual
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Provider Name | MARGARITA RODRIGUEZ DMD
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 4801 S CONGRESS AVE SUITE #202
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City | LAKE WORTH
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State | FL
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Zip | 33461-4746
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Country | US
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Telephone | 561-969-2696
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Fax | 561-969-0993
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Provider Business Mailing Address
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Address Line | 169 KENSINGTON WAY
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City | WELLINGTON
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State | FL
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Zip | 33414-4315
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Country | US
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Telephone | 561-596-0950
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Fax | 561-969-0993
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN177331
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License Number State | FL
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