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General NPI Number Information
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NPI Number | 1023588118
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE RODRIGUEZ DPT
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Gender | Female
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Dates
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Enumeration Date | 11/30/2018
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Last Update Date | 11/30/2018
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Provider Practice Location Address
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Address Line | 8559 N LINE CREEK PKWY
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City | KANSAS CITY
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State | MO
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Zip | 64154-2100
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Country | US
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Telephone | 816-545-9790
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Fax |
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Provider Business Mailing Address
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Address Line | 10006 NW 87TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64153-3682
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Country | US
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Telephone | 610-299-2101
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2018028748
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License Number State | MO
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