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General NPI Number Information
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NPI Number | 1851780845
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Entity Type | Individual
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Provider Name | ADRIAN RODRIGUEZ
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Gender | Male
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 03/30/2017
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Provider Practice Location Address
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Address Line | 43845 10TH ST W
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City | LANCASTER
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State | CA
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Zip | 93534-4800
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Country | US
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Telephone | 661-940-9094
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Fax |
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Provider Business Mailing Address
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Address Line | 5202 E AVENUE S4
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City | PALMDALE
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State | CA
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Zip | 93552-5349
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Country | US
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Telephone | 661-733-4554
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 85385
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License Number State | CA
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