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General NPI Number Information
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NPI Number | 1699327973
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Entity Type | Individual
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Provider Name | NATHALIA F RODRIGUEZ ROJAS DMD
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Gender | Female
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 07/16/2019
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Provider Practice Location Address
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Address Line | 2202 S W S YOUNG DR STE 102
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City | KILLEEN
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State | TX
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Zip | 76543-5318
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Country | US
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Telephone | 267-357-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 1119 SHINE LN
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City | HARKER HEIGHTS
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State | TX
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Zip | 76548-1445
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Country | US
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Telephone | 267-357-2020
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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 | 35489
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License Number State | TX
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