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General NPI Number Information
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NPI Number | 1316710668
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Entity Type | Individual
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Provider Name | AZARIA MARIA RODRIGUEZ LPC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 250 AVE DE LA CONSTITUCION
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City | SAN JUAN
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State | PR
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Zip | 00901-2204
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Country | US
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Telephone | 787-517-1518
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Fax |
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Provider Business Mailing Address
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Address Line | EXT. ALTURAS DE PENUELAS 2 CALLE RUBI 601
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City | PENUELAS
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State | PR
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Zip | 00624
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Country | US
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Telephone | 787-517-1518
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1569
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License Number State | PR
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