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Individual

NELSON F RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4075 OLD WESTERN ROW RD, MASON, OH 45040-3104
(513) 536-0623
(513) 536-0619
Mailing address
4075 OLD WESTERN ROW RD, MASON, OH 45040-3104
(513) 536-4673
(513) 536-0619

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
34057
KY
2084P0800X
Psychiatry Physician
Primary
35085072
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2486055
MEDICAID
OH
05
64340573
KY
01
9234
MEDICARE GROUP
KY
Enumeration date
04/13/2006
Last updated
08/29/2008
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