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General NPI Number Information
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NPI Number | 1952507139
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Entity Type | Organization
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Legal Business Name | FRANCISCO B. RODRIGUEZ IV MD PA
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 19234 STONE HUE
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City | SAN ANTONIO
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State | TX
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Zip | 78258
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Country | US
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Telephone | 210-837-3125
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15247
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City | SAN ANTONIO
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State | TX
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Zip | 78212
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Country | US
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Telephone | 210-837-3125
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANCISCO BERRNARDO RODRIGUEZ IV
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Credential | MD
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Telephone | 210-837-3125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K2111
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License Number State | TX
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