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General NPI Number Information
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NPI Number | 1538314117
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Entity Type | Individual
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Provider Name | MARIA NOEMI RODRIGUEZ DIETITIAN
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Gender | Female
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 11/24/2008
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Provider Practice Location Address
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Address Line | 57 CALLE TRINITARIA URB. BRISAS DE AIBONITO
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City | AIBONITO
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State | PR
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Zip | 00705-3930
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Country | US
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Telephone | 787-644-2957
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Fax | 787-735-7150
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Provider Business Mailing Address
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Address Line | 57 CALLE TRINITARIA URB. BRISAS DE AIBONITO
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City | AIBONITO
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State | PR
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Zip | 00705-3930
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Country | US
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Telephone | 787-644-2957
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Fax | 787-735-7150
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 1066
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License Number State | PR
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