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General NPI Number Information
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NPI Number | 1417583782
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Entity Type | Individual
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Provider Name | VERONICA LOPEZ RODRIGUEZ PHD, MRC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 09/14/2025
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Provider Practice Location Address
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Address Line | 2544 WILD HOLLYHOCK DR APT 3414
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City | TAMPA
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State | FL
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Zip | 33619-6879
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Country | US
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Telephone | 787-420-2181
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Fax |
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Provider Business Mailing Address
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Address Line | 2544 WILD HOLLYHOCK DR APT 3414
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City | TAMPA
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State | FL
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Zip | 33619-6879
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Country | US
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Telephone | 787-420-2181
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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 | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 1720
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY12885
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License Number State | FL
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