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General NPI Number Information
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NPI Number | 1265930093
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Entity Type | Individual
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Provider Name | NIURKA RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 01/26/2018
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 15924 SW 92ND AVE
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1842
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Country | US
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Telephone | 305-964-5824
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Fax | 786-452-1200
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Provider Business Mailing Address
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Address Line | 3895 SW 126TH CT
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City | MIAMI
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State | FL
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Zip | 33175-2964
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Country | US
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Telephone | 786-260-3280
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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