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General NPI Number Information
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NPI Number | 1306716154
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Entity Type | Individual
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Provider Name | DIANA JACQUELENE RODRIGUEZ-CHACON
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Gender | Female
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 4606 FARM TO MARKET 1960 RD. W STE 520
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City | HOUSTON
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State | TX
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Zip | 77069
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Country | US
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Telephone | 346-333-2794
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Fax |
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Provider Business Mailing Address
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Address Line | 6222 BRIAR TERRACE DR
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City | HOUSTON
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State | TX
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Zip | 77072-1514
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Country | US
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Telephone | 832-704-2163
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 44919
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License Number State | TX
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