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General NPI Number Information
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NPI Number | 1720960073
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Entity Type | Individual
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Provider Name | RODRIGO SEBASTIAN MUNOZ PSYD.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 3 S 6TH AVE
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City | MOUNT VERNON
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State | NY
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Zip | 10550-3197
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Country | US
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Telephone | 914-361-7238
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Fax | 914-668-0164
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Provider Business Mailing Address
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Address Line | 603 HOMESTEAD AVE
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City | PEEKSKILL
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State | NY
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Zip | 10566-5409
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Country | US
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Telephone | 786-728-6009
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 40944
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 27412
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5452-57
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | B1-0011541
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License Number State | DE
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