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General NPI Number Information
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NPI Number | 1609414556
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Entity Type | Individual
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Provider Name | TANIANA E RODRIGUEZ FNP
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Gender | Female
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Dates
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Enumeration Date | 12/11/2019
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 10816 63RD RD
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City | FOREST HILLS
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State | NY
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Zip | 11375-1352
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Country | US
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Telephone | 718-897-5331
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Fax |
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Provider Business Mailing Address
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Address Line | 18 MELRICK CT
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City | WESTBURY
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State | NY
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Zip | 11590-2426
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Country | US
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Telephone | 516-606-6245
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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 | F344672-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 344672
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License Number State | NY
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