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General NPI Number Information
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NPI Number | 1902460082
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Entity Type | Individual
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Provider Name | ALICIA M RODRIGUES LICSW
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Gender | Female
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Dates
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Enumeration Date | 04/24/2019
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 30 TAUNTON GRN STE 5
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City | TAUNTON
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State | MA
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Zip | 02780-3243
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Country | US
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Telephone | 508-880-6666
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Fax |
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Provider Business Mailing Address
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Address Line | 101 BROADWAY UNIT 3
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City | PAWTUCKET
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State | RI
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Zip | 02860-2203
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Country | US
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Telephone | 401-742-5883
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW03843
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License Number State | RI
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