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General NPI Number Information
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NPI Number | 1104607811
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Entity Type | Individual
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Provider Name | ELIZABETH MARIE RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 7800 S RED RD STE 205
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5542
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Country | US
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Telephone | 305-854-2471
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Fax |
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Provider Business Mailing Address
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Address Line | 10600 SW 127TH ST
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City | MIAMI
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State | FL
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Zip | 33176-4757
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Country | US
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Telephone | 786-399-9511
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA23601
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License Number State | FL
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