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General NPI Number Information
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NPI Number | 1053939728
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Entity Type | Individual
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Provider Name | MRS. ABDIAS APOLONIA RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 7777 131ST ST
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City | SEMINOLE
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State | FL
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Zip | 33776-4017
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Country | US
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Telephone | 352-321-0933
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Fax |
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Provider Business Mailing Address
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Address Line | 10848 WYANDOTTE DR
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City | CLERMONT
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State | FL
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Zip | 34711-7902
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Country | US
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Telephone | 352-321-0933
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-20-120425
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License Number State | FL
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