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General NPI Number Information
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NPI Number | 1679437222
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Entity Type | Individual
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Provider Name | NICHOLE MARGARET RODRIGUEZ APRN, AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 2225 WILLIAMS TRACE BLVD STE 108
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City | SUGAR LAND
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State | TX
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Zip | 77478-4440
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Country | US
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Telephone | 832-789-4569
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Fax |
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Provider Business Mailing Address
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Address Line | 2225 WILLIAMS TRACE BLVD STE 108
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City | SUGAR LAND
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State | TX
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Zip | 77478-4440
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Country | US
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Telephone | 832-789-4569
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1218549
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1218549
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License Number State | TX
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