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General NPI Number Information
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NPI Number | 1568348878
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Entity Type | Organization
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Legal Business Name | THE RADIANT ROOM, LLC
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 119 W PARK AVE
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City | PHARR
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State | TX
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Zip | 78577-4740
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Country | US
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Telephone | 956-904-8826
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Fax |
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Provider Business Mailing Address
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Address Line | 2605 PAMPLONA ST
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City | PHARR
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State | TX
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Zip | 78577-7079
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Country | US
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Telephone | 956-904-8826
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DINORHA RODRIGUEZ
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Credential | RN
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Telephone | 956-904-8826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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