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General NPI Number Information
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NPI Number | 1013630979
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Entity Type | Individual
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Provider Name | ALICIA MARIE RODMAN DNP, FNP-C, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 5133 RIVERS AVE
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-6338
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Country | US
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Telephone | 843-789-1786
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 751649
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City | CHARLOTTE
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State | NC
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Zip | 28275-1649
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Country | US
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Telephone | 888-472-0043
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-306493
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 30563
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License Number State | SC
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