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General NPI Number Information
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NPI Number | 1053824680
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Entity Type | Individual
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Provider Name | CHRISTINE RODRIGUEZ DPT
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Gender | Female
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 2630 US HIGHWAY 1 S
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32086-6191
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Country | US
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Telephone | 904-829-3411
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Fax |
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Provider Business Mailing Address
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Address Line | 128 AIKEN ST
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32084-4030
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Country | US
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Telephone | 305-301-7491
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA50849
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT32151
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License Number State | FL
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