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General NPI Number Information
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NPI Number | 1518630284
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Entity Type | Individual
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Provider Name | SHEILA RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 1701 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33135-2098
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Country | US
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Telephone | 305-796-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 2626 NW 24TH ST APT 3
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City | MIAMI
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State | FL
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Zip | 33142-7270
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Country | US
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Telephone | 305-796-5450
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI4827
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ10366
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License Number State | FL
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