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General NPI Number Information
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NPI Number | 1639580095
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Entity Type | Individual
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Provider Name | KENIA RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 05/19/2014
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Last Update Date | 09/30/2015
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Provider Practice Location Address
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Address Line | 2428 W ILLINOIS AVE
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City | DALLAS
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State | TX
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Zip | 75233-1106
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Country | US
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Telephone | 214-330-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 1230 DEKALB AVE
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City | BROOKLYN
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State | NY
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Zip | 11221-3204
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 31014
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License Number State | TX
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