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General NPI Number Information
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NPI Number | 1134887656
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Entity Type | Individual
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Provider Name | JOCELIE RODRIGUEZ LMT
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Gender | Female
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Dates
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Enumeration Date | 12/01/2021
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 705 OTECA DR
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City | DESOTO
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State | TX
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Zip | 75115-6631
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Country | US
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Telephone | 214-229-3175
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Fax |
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Provider Business Mailing Address
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Address Line | 705 OTECA DR
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City | DESOTO
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State | TX
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Zip | 75115-6631
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Country | US
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Telephone | 214-229-3175
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT124598
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License Number State | TX
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