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General NPI Number Information
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NPI Number | 1467917732
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Entity Type | Individual
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Provider Name | JOSE RAMON DE JESUS RODRIGUEZ NUNO
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Gender | Male
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Dates
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Enumeration Date | 01/31/2019
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 4221 N PIONEER DR BLDG 3
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-5629
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Country | US
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Telephone | 480-847-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 17284 NEWHOPE ST STE 212
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-8201
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Country | US
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Telephone | 833-922-2669
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Fax | 714-509-1545
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-24-76751
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License Number State | AZ
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