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General NPI Number Information
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NPI Number | 1861383770
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Entity Type | Individual
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Provider Name | SINDY MARISOL RODRIGUEZ RN
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Gender | Female
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 100 HIGHLAND AVE
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City | PROVIDENCE
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State | RI
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Zip | 02906-2740
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Country | US
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Telephone | 401-383-5051
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Fax |
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Provider Business Mailing Address
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Address Line | 55 HORNBINE ST
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City | CRANSTON
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State | RI
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Zip | 02910-1644
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Country | US
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Telephone | 401-288-2348
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Fax | 401-288-2348
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 74578
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License Number State | RI
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