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General NPI Number Information
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NPI Number | 1487964797
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Entity Type | Individual
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Provider Name | ELIZABETH RODRIGUEZ R.N.
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Gender | Female
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 1911 WILLIAMS DR STE 120
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City | OXNARD
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State | CA
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Zip | 93036-2612
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Country | US
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Telephone | 805-981-9270
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Fax |
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Provider Business Mailing Address
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Address Line | 2585 PASEO YOLO
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City | CAMARILLO
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State | CA
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Zip | 93010-2221
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Country | US
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Telephone | 805-981-9248
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Fax | 805-981-9271
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 778418
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License Number State | CA
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