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General NPI Number Information
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NPI Number | 1366724429
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Entity Type | Individual
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Provider Name | VERONICA MERCEDES RODRIGUEZ MS, LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 08/13/2013
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Provider Practice Location Address
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Address Line | 2324 NW 157TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2414
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Country | US
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Telephone | 954-483-8321
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Fax |
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Provider Business Mailing Address
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Address Line | 2324 NW 157TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2414
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Country | US
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Telephone | 954-483-8321
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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 | MH-10691
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License Number State | FL
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