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General NPI Number Information
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NPI Number | 1962761254
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Entity Type | Individual
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Provider Name | CYNTHIA RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 05/08/2012
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Provider Practice Location Address
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Address Line | CARR NUM 2 KM 16.1 BO CANDELARIA
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-200-9550
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Fax | 787-200-9550
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Provider Business Mailing Address
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Address Line | URBANIZACION FUENTEBELLA 1562
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City | TOA ALTA
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State | PR
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Zip | 00953-3417
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Country | US
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Telephone | 787-546-8484
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Fax | 787-200-9550
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | PR
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