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General NPI Number Information
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NPI Number | 1326597790
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Entity Type | Individual
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Provider Name | DIANA RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 09/27/2016
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 3580 WILSHIRE BLVD 8 FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90010-2501
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Country | US
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Telephone | 213-637-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 14535 SHERMAN CIR
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City | VAN NUYS
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State | CA
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Zip | 91405-3087
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Country | US
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Telephone | 818-901-4930
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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