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General NPI Number Information
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NPI Number | 1548316383
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Entity Type | Individual
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Provider Name | CYNTHIA J. RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 09/05/2007
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Provider Practice Location Address
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Address Line | 2409 W 5TH ST
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City | LUMBERTON
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State | NC
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Zip | 28358-6261
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Country | US
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Telephone | 910-735-2273
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Fax | 910-735-4263
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Provider Business Mailing Address
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Address Line | 2409 W. 5TH ST.
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City | LUMBERTON
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State | NC
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Zip | 28358-2409
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Country | US
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Telephone | 910-735-2273
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Fax | 910-735-4263
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HC3400
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License Number State | NC
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