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General NPI Number Information
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NPI Number | 1659363166
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Entity Type | Individual
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Provider Name | LUANA RODRIGUEZ DNP, CNM, CCTP
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Gender | Female
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 20655 W LEGEND TRL
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City | BUCKEYE
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State | AZ
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Zip | 85396-1756
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Country | US
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Telephone | 954-682-7069
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Fax |
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Provider Business Mailing Address
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Address Line | 20655 W LEGEND TRL
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City | BUCKEYE
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State | AZ
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Zip | 85396-1756
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Country | US
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Telephone | 954-682-7069
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN151992
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | ARNP9178401
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | AP3016
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License Number State | AZ
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