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General NPI Number Information
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NPI Number | 1861853491
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Entity Type | Individual
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Provider Name | ANDREA RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 03/09/2016
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 300 HALKET ST SUITE 4628
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City | PITTSBURGH
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State | PA
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Zip | 15213-3108
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Country | US
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Telephone | 412-641-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 5772 MONTVILLE DR SUITE 4628
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City | MC DONALD
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State | PA
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Zip | 15057-3547
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP016016
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License Number State | PA
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