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General NPI Number Information
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NPI Number | 1407669476
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Entity Type | Individual
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Provider Name | JENNIFER RENEE RODRIGUEZ MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 607 CAMDEN ST
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City | SAN ANTONIO
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State | TX
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Zip | 78215-1610
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Country | US
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Telephone | 210-253-3426
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Fax |
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Provider Business Mailing Address
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Address Line | 27231 PARAISO MNR
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City | BOERNE
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State | TX
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Zip | 78015-4886
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Country | US
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Telephone | 512-769-2675
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1188496
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License Number State | TX
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