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General NPI Number Information
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NPI Number | 1942517891
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Entity Type | Individual
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Provider Name | NATALIE RODRIGUEZ DESALDEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | RH8 CALLE ACACIA LEVITTOWN
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City | TOA BAJA
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State | PR
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Zip | 00949-2603
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Country | US
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Telephone | 939-338-1526
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Fax | 939-338-1526
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Provider Business Mailing Address
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Address Line | RR 5 BOX 8195
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City | BAYAMON
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State | PR
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Zip | 00956-9724
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Country | US
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Telephone | 787-345-8839
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 18695
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License Number State | PR
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