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Individual
MELANIE ANN RODRIGUEZ
Active
Individual
MELANIE ANN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12678
GA
363A00000X
Physician Assistant
PA9112074
FL
363AM0700X
Medical Physician Assistant
PA6038
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110124700A
—
MA
Enumeration date
05/14/2015
Last updated
02/21/2025
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