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General NPI Number Information
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NPI Number | 1417079146
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Entity Type | Individual
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Provider Name | CHRISTINA LEONOR RODRIGUEZ L.C.S.W
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 335 FAIRVIEW ST
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City | SILVERTON
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State | OR
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Zip | 97381-1916
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Country | US
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Telephone | 503-874-5625
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3417
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City | PORTLAND
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State | OR
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Zip | 97208-3417
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Country | US
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Telephone | 503-413-3900
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L5354
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License Number State | OR
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