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General NPI Number Information
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NPI Number | 1457801516
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Entity Type | Individual
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Provider Name | GLORIA MARIA RODRIGUEZ LMFT 118894
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Gender | Female
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Dates
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Enumeration Date | 10/12/2016
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 8320 IOWA ST STE 201
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City | DOWNEY
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State | CA
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Zip | 90241-4928
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Country | US
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Telephone | 562-904-4815
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Fax |
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Provider Business Mailing Address
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Address Line | 2105 E OCEAN BLVD UNIT 19
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City | LONG BEACH
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State | CA
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Zip | 90803-2436
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Country | US
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Telephone | 323-236-3949
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 118894
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License Number State | CA
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