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General NPI Number Information
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NPI Number | 1851984983
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Entity Type | Individual
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Provider Name | PAOLA RODRIGUEZ LCAT, ATR-BC
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Gender | Female
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 5 GRACE CHURCH ST
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City | PORT CHESTER
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State | NY
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Zip | 10573-4911
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Country | US
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Telephone | 914-918-4264
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Fax |
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Provider Business Mailing Address
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Address Line | 1578 NEPPERHAN AVE BSMT
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City | YONKERS
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State | NY
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Zip | 10703-1071
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Country | US
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Telephone | 646-552-2786
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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