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General NPI Number Information
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NPI Number | 1861102360
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Entity Type | Organization
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Legal Business Name | RODRIGUEZ SPEECH & THERAPY CENTER
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Dates
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Enumeration Date | 11/25/2022
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 3040 RUBEN TORRES SR BLVD STE B
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City | BROWNSVILLE
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State | TX
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Zip | 78526-2871
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Country | US
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Telephone | 956-572-6854
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Fax |
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Provider Business Mailing Address
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Address Line | 5462 PEPPERMILL RUN
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City | BROWNSVILLE
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State | TX
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Zip | 78526-4314
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Country | US
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Telephone | 956-572-6854
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | DOMINIQUE LIZETTE RODRIGUEZ
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Credential | M.S., CCC-SLP
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Telephone | 956-572-6854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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