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General NPI Number Information
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NPI Number | 1477323459
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Entity Type | Individual
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Provider Name | ARACELI MARIA RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 4227 S HOOVER ST
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City | LOS ANGELES
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State | CA
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Zip | 90037-2534
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Country | US
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Telephone | 626-725-5148
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Fax |
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Provider Business Mailing Address
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Address Line | 917 E 1ST ST APT A
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City | LONG BEACH
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State | CA
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Zip | 90802-5309
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Country | US
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Telephone | 562-620-6099
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 109511
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License Number State | CA
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