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General NPI Number Information
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NPI Number | 1487747309
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Entity Type | Individual
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Provider Name | NINA ROSA RODRIGUES MFT
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | 870 MARKET ST SUITE 655
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-3099
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Country | US
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Telephone | 510-653-0169
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Fax |
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Provider Business Mailing Address
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Address Line | 442 CAVOUR ST # B
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City | OAKLAND
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State | CA
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Zip | 94618-1078
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Country | US
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Telephone | 510-653-0169
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC38288
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License Number State | CA
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