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General NPI Number Information
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NPI Number | 1598199028
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Entity Type | Individual
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Provider Name | NINA RODRIGUEZ MD
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Gender | Female
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Dates
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Enumeration Date | 09/03/2013
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 36065 SANTA FE AVE
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City | FORT HOOD
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State | TX
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Zip | 76544-5060
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Country | US
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Telephone | 443-309-0083
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Fax |
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Provider Business Mailing Address
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Address Line | 786 D STREET
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City | JBER
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State | AK
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Zip | 99505
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Country | US
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Telephone | 907-384-3828
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101259339
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 0101259339
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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