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General NPI Number Information
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NPI Number | 1790621050
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Entity Type | Individual
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Provider Name | CAROL MARIE RODRIGUEZ LMT TEXAS #114679
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Gender | Female
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 218 N ARROYO BLVD STE C
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City | LOS FRESNOS
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State | TX
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Zip | 78566-3250
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Country | US
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Telephone | 956-708-8023
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Fax |
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Provider Business Mailing Address
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Address Line | 34493 CALLE DE CRUZ
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City | LOS FRESNOS
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State | TX
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Zip | 78566-5177
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Country | US
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Telephone | 956-708-8023
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 114679
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License Number State | TX
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