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General NPI Number Information
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NPI Number | 1043610801
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Entity Type | Individual
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Provider Name | CRYSTAL M. RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 957 BLANCO CIR
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City | SALINAS
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State | CA
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Zip | 93901-4447
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Country | US
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Telephone | 831-784-2150
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Fax |
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Provider Business Mailing Address
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Address Line | 331 N SANBORN RD
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City | SALINAS
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State | CA
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Zip | 93905-2220
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Country | US
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Telephone | 831-784-2150
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 112437
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 129464
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License Number State | CA
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