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General NPI Number Information
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NPI Number | 1710639471
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Entity Type | Individual
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Provider Name | ABIGAIL KATHY RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 3387 BARRANCA PKWY
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City | IRVINE
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State | CA
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Zip | 92606-8272
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Country | US
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Telephone | 714-788-2867
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Fax |
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Provider Business Mailing Address
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Address Line | 27261 LAS RAMBLAS
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6441
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 126342
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License Number State | CA
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