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General NPI Number Information
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NPI Number | 1396620340
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Entity Type | Individual
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Provider Name | LAURA RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 3400 ANDREWS HWY
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City | MIDLAND
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State | TX
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Zip | 79703-5100
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Country | US
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Telephone | 432-570-9991
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Fax |
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Provider Business Mailing Address
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Address Line | 12 EL NIDO CT
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City | ODESSA
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State | TX
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Zip | 79765-8832
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Country | US
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Telephone | 432-258-0832
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1208652
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License Number State | TX
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