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General NPI Number Information
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NPI Number | 1710453493
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Entity Type | Organization
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Legal Business Name | AMPARO RODRIGUEZ, LPC, LLC
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Dates
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Enumeration Date | 10/19/2018
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 1322 N ACADEMY BLVD STE 114D
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-3327
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Country | US
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Telephone | 719-271-6702
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Fax |
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Provider Business Mailing Address
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Address Line | 2385 VANTAGE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-3817
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Country | US
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Telephone | 719-271-6702
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. AMPARO RODRIGUEZ
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Credential | LPC
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Telephone | 719-271-6702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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