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General NPI Number Information
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NPI Number | 1467725663
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Entity Type | Individual
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Provider Name | ADRIANA RODRIGUEZ-MICIAK AUD
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Gender | Female
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Dates
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Enumeration Date | 02/17/2012
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 6501 FANNIN ST NA 200
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City | HOUSTON
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State | TX
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Zip | 77030-2703
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Country | US
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Telephone | 713-798-8309
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Fax | 713-793-1749
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Provider Business Mailing Address
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Address Line | 6550 FANNIN ST STE 1701 ATT: RENEE BROWN
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City | HOUSTON
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State | TX
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Zip | 77030-2709
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Country | US
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Telephone | 713-798-8291
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Fax | 713-798-5294
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 80398
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License Number State | TX
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