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General NPI Number Information
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NPI Number | 1982713541
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Entity Type | Organization
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Legal Business Name | JOSE J RODRIGUEZ MD PA
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5703 NW 7 STREET
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City | MIAMI
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State | FL
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Zip | 33126-3105
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Country | US
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Telephone | 305-266-2621
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Fax | 305-266-2671
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Provider Business Mailing Address
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Address Line | 5703 NW 7 STREET
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City | MIAMI
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State | FL
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Zip | 33126-3105
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Country | US
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Telephone | 305-266-2621
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Fax | 305-266-2671
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Authorized Official
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Title or Position | PRESIDENT OWNER MD
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Name | JOSE JOAQUIN RODRIGUEZ
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Credential | MD
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Telephone | 305-266-2321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 82753
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License Number State | FL
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