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General NPI Number Information
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NPI Number | 1093252587
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Entity Type | Organization
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Legal Business Name | BRIGIDA RODRIGUEZ COUNSELING SERVICES CORP
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Dates
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Enumeration Date | 01/23/2017
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 5155 W WOODMILL DR SUITE17
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City | WILMINGTON
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State | DE
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Zip | 19808-4067
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Country | US
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Telephone | 302-898-5184
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Fax | 302-257-5621
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Provider Business Mailing Address
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Address Line | 52 CASTLE RUN DR
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City | BEAR
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State | DE
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Zip | 19701-1416
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Country | US
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Telephone | 302-898-5184
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Fax | 302-257-5621
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Authorized Official
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Title or Position | MEMEBER
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Name | BRIGIDA A RODRIGUEZ
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Credential | LPCMH
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Telephone | 302-898-5184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0000639
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License Number State | DE
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