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General NPI Number Information
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NPI Number | 1477791382
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Entity Type | Individual
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Provider Name | MARIA CHRISTINA RODRIGUEZ P.T.
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Gender | Female
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 01/30/2009
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Provider Practice Location Address
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Address Line | 400 E 34TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-4901
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Country | US
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Telephone | 212-263-6059
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6
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City | MONTAUK
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State | NY
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Zip | 11954-0102
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Country | US
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Telephone | 631-965-2743
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 025157
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 35065
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License Number State | CA
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