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General NPI Number Information
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NPI Number | 1386429405
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Entity Type | Individual
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Provider Name | ROSALIE RODRIGUEZ ORTIZ MSW
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Gender | Female
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | URB CONDADO 10E MARGINAL JOSE VILLARES
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-510-6187
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Fax |
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Provider Business Mailing Address
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Address Line | GRAN VISTA 1 CALLE EL PRADO #66
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City | GURABO
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State | PR
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Zip | 00778
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Country | US
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Telephone | 787-361-3242
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 13998
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License Number State | PR
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