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General NPI Number Information
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NPI Number | 1548185689
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Entity Type | Individual
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Provider Name | BRITTANY L RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 2500 W REYNOLDS ST STE 103
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City | PONTIAC
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State | IL
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Zip | 61764-9774
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Country | US
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Telephone | 815-398-9491
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4545
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City | CAROL STREAM
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State | IL
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Zip | 60197-4545
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209035733
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License Number State | IL
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