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General NPI Number Information
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NPI Number | 1619877230
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Entity Type | Individual
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Provider Name | ASHLEY ANDREA RODRIGUEZ OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/07/2026
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Last Update Date | 11/07/2026
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Provider Practice Location Address
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Address Line | 5411 ETIWANDA AVE STE 300
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City | TARZANA
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State | CA
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Zip | 91356-6162
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Country | US
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Telephone | 818-783-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 17272 DOLPHIN ST
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City | FONTANA
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State | CA
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Zip | 92336-3234
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Country | US
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Telephone | 909-549-9428
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 28698
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License Number State | CA
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