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General NPI Number Information
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NPI Number | 1437494721
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Entity Type | Individual
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Provider Name | JENNIFER L RODRIGUEZ PT
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Gender | Female
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 4055 OCEANSIDE BLVD STE C
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City | OCEANSIDE
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State | CA
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Zip | 92056-5821
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Country | US
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Telephone | 760-586-2728
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Fax |
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Provider Business Mailing Address
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Address Line | 4055 OCEANSIDE BLVD STE F
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City | OCEANSIDE
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State | CA
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Zip | 92056-5821
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Country | US
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Telephone | 760-842-7519
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Fax | 760-657-2994
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10088
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT39553
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License Number State | CA
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