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General NPI Number Information
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NPI Number | 1457838344
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Entity Type | Individual
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Provider Name | SHELBY NICOLE RODRIGUEZ ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 4400 S M L KING JR PKWY
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City | BEAUMONT
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State | TX
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Zip | 77705-5748
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Country | US
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Telephone | 409-880-2359
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Fax |
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Provider Business Mailing Address
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Address Line | 1048 MISTY CLF
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City | DICKINSON
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State | TX
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Zip | 77539-8377
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Country | US
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Telephone | 832-561-3352
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT7646
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License Number State | TX
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