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NPI 1326284514

NPI 1326284514 : LUIS JAVIER RODRIGUEZ FNP-C : CYPRESS, TX

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General NPI Number Information
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    NPI Number           |    1326284514
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    Entity Type          |    Individual 
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    Provider Name        |    LUIS JAVIER RODRIGUEZ FNP-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/18/2008
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    Last Update Date     |    05/18/2025
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Provider Practice Location Address
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    Address Line         |    26103 GLENBRIAR SPRING LN 
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77433-1355
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    Country              |    US
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    Telephone            |    281-256-2359
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    26103 GLENBRIAR SPRING LN 
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77433-1355
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    Country              |    US
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    Telephone            |    281-256-2359
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    202106694NP-PP
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    69242
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    License Number State |    NM
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    601953
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    License Number State |    TX
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