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General NPI Number Information
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NPI Number | 1336850221
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Entity Type | Individual
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Provider Name | MELISSA RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 12/12/2022
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 15341 W WADDELL RD STE B106
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City | SURPRISE
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State | AZ
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Zip | 85379-5169
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Country | US
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Telephone | 623-887-3325
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Fax |
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Provider Business Mailing Address
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Address Line | 17328 W BUCHANAN ST
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City | GOODYEAR
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State | AZ
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Zip | 85338-2538
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Country | US
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Telephone | 602-319-1487
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HADE16102
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License Number State | AZ
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