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General NPI Number Information
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NPI Number | 1790890929
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Entity Type | Individual
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Provider Name | MARIA ENEDINA RODRIGUEZ C.N.S.
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Gender | Female
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 05/30/2019
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Provider Practice Location Address
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Address Line | 1200 E SAVANNAH AVE STE 13
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City | MCALLEN
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State | TX
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Zip | 78503-1728
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Country | US
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Telephone | 956-668-0974
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Fax | 956-668-0751
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Provider Business Mailing Address
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Address Line | 1200 E SAVANNAH AVE STE 13
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City | MCALLEN
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State | TX
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Zip | 78503-1728
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Country | US
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Telephone | 956-668-0974
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Fax | 956-668-0751
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 614065
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License Number State | TX
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