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General NPI Number Information
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NPI Number | 1407731284
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Entity Type | Individual
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Provider Name | SAVANNAH MARIA RODRIGUEZ CT
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Gender | Female
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Dates
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Enumeration Date | 08/09/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 10290 ALLIANCE RD
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City | BLUE ASH
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State | OH
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Zip | 45242-4710
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Country | US
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Telephone | 859-380-4969
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Fax |
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Provider Business Mailing Address
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Address Line | 4513 PIMLICO PL
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City | DAYTON
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State | OH
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Zip | 45424-3792
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Country | US
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Telephone | 326-467-8813
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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 | C.2507162-TRNE
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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