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General NPI Number Information
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NPI Number | 1134757289
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Entity Type | Individual
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Provider Name | DAWN NICOLE RODRIGUEZ FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 8042 WURZBACH RD STE 130
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3823
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Country | US
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Telephone | 210-201-2806
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Fax | 888-878-2254
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Provider Business Mailing Address
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Address Line | 8042 WURZBACH RD STE 130
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3823
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Country | US
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Telephone | 210-201-2806
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Fax | 888-878-2254
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP144367
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License Number State | TX
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