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General NPI Number Information
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NPI Number | 1801752688
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Entity Type | Individual
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Provider Name | MARTHA A. RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 12/24/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 12 W 20TH ST
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City | MERCED
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State | CA
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Zip | 95340-3903
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Country | US
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Telephone | 201-887-1978
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Fax | 201-887-1978
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Provider Business Mailing Address
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Address Line | 3602 SWAN CT # 3602
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City | MERCED
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State | CA
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Zip | 95340-8477
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Country | US
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Telephone | 201-887-1978
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Fax | 201-887-1978
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 112593
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License Number State | CA
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