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General NPI Number Information
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NPI Number | 1770475576
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Entity Type | Individual
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Provider Name | SABRINA JADE RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 150 W 28TH ST STE 1402
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City | NEW YORK
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State | NY
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Zip | 10001-6103
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Country | US
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Telephone | 904-501-3221
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Fax |
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Provider Business Mailing Address
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Address Line | 125 BERGEN ST APT 1A
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City | BROOKLYN
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State | NY
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Zip | 11201-8618
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Country | US
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Telephone | 786-247-9707
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 05-P112177-02
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License Number State | NY
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