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General NPI Number Information
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NPI Number | 1548979198
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Entity Type | Individual
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Provider Name | ZULMARIE RODRIGUEZ PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 11/22/2022
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | CARR. 64 ESQUINA CALLE # 3 URB. INDUSTRIAL
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-838-7272
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Fax |
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Provider Business Mailing Address
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Address Line | HC 1 BOX 4223
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City | LAS MARIAS
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State | PR
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Zip | 00670-9616
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 7860
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License Number State | PR
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