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General NPI Number Information
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NPI Number | 1912336231
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Entity Type | Individual
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Provider Name | CHRISTINA RODRIGUEZ RN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 3711 LONG BEACH BLVD STE 708
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City | LONG BEACH
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State | CA
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Zip | 90807-3323
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Country | US
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Telephone | 562-270-5008
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Fax |
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Provider Business Mailing Address
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Address Line | 2702 S PECK AVE UNIT 3
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City | SAN PEDRO
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State | CA
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Zip | 90731-6546
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Country | US
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Telephone | 424-772-1926
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 637905
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License Number State | CA
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