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General NPI Number Information
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NPI Number | 1043415110
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Entity Type | Individual
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Provider Name | MARIA D RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | USNS KANAWHA MEDICAL DEPARTMENT
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City | FPO
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State | AE
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Zip | 09576-4075
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Country | US
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Telephone | 619-544-7171
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Fax | 619-544-7170
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Provider Business Mailing Address
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Address Line | PO BOX 99
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City | PORTSMOUTH
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State | VA
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Zip | 23705-0099
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Country | US
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Telephone | 757-761-6183
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Fax | 619-544-7170
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1710I1002X
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Taxonomy Name | Independent Duty Corpsman
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License Number |
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License Number State |
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