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General NPI Number Information
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NPI Number | 1396550158
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Entity Type | Individual
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Provider Name | JENNIFER LYNN RODRIGUEZ NP
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Gender | Female
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 1996 SCHERTZ PKWY STE 301
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City | SCHERTZ
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State | TX
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Zip | 78154-1682
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Country | US
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Telephone | 210-833-5969
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Fax |
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Provider Business Mailing Address
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Address Line | 173 NORTHRIDGE
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City | NEW BRAUNFELS
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State | TX
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Zip | 78132-2556
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Country | US
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Telephone | 210-833-5969
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 1190610
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License Number State | TX
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