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General NPI Number Information
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NPI Number | 1275189003
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Entity Type | Individual
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Provider Name | CHARITY RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 08/16/2019
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Last Update Date | 08/16/2019
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Provider Practice Location Address
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Address Line | 14869 S DIXIE HWY BLDG SUITE
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City | PALMETTO BAY
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State | FL
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Zip | 33176-7928
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Country | US
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Telephone | 305-570-1666
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Fax | 305-203-0546
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Provider Business Mailing Address
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Address Line | 12277 SW 130TH ST
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City | MIAMI
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State | FL
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Zip | 33186-6218
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Country | US
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Telephone | 305-570-1666
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Fax | 305-203-0546
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT11015
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License Number State | FL
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