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General NPI Number Information
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NPI Number | 1356676324
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Entity Type | Individual
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Provider Name | HECTOR RODRIGUEZ M.A., LLPC
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Gender | Male
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 4341 S WESTNEDGE AVE SUITE 2109
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City | KALAMAZOO
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State | MI
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Zip | 49008-3289
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Country | US
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Telephone | 269-341-9300
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Fax | 269-384-8448
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Provider Business Mailing Address
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Address Line | 4341 S WESTNEDGE AVE SUITE 2109
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City | KALAMAZOO
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State | MI
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Zip | 49008-3289
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Country | US
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Telephone | 269-341-9300
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Fax | 269-384-8448
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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 | 6401010932
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6401010932
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License Number State | MI
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