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General NPI Number Information
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NPI Number | 1023407061
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Entity Type | Individual
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Provider Name | CAROL RODRIGUEZ REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 1965 LIVE OAK BLVD
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City | YUBA CITY
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State | CA
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Zip | 95991-8850
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Country | US
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Telephone | 530-822-7200
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Fax | 530-822-7108
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Provider Business Mailing Address
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Address Line | 1965 LIVE OAK BLVD
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City | YUBA CITY
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State | CA
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Zip | 95991-8850
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Country | US
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Telephone | 530-822-7200
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Fax | 530-822-7108
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 36262
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 95397198
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 95397198
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License Number State | CA
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