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General NPI Number Information
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NPI Number | 1225815319
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Entity Type | Individual
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Provider Name | REBECA VIRGINIA RODRIGUEZ DDS
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Gender | Female
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Dates
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Enumeration Date | 09/12/2023
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 8210 FLOYD CURL DR # MC8124
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3923
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Country | US
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Telephone | 210-450-3141
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Fax |
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Provider Business Mailing Address
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Address Line | 28719 HOWARDS BULL
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City | BOERNE
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State | TX
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Zip | 78015-4338
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Country | US
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Telephone | 870-351-8982
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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