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General NPI Number Information
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NPI Number | 1992144414
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Entity Type | Individual
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Provider Name | EMMANUEL RODRIGUEZ VARGAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/18/2013
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 7800 SHOAL CREEK BLVD
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City | AUSTIN
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State | TX
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Zip | 78757-1098
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Country | US
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Telephone | 512-323-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 2116 PARK PLACE CIR
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City | ROUND ROCK
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State | TX
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Zip | 78681-3908
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Country | US
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Telephone | 512-986-0257
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A143057
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R4895
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License Number State | TX
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