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General NPI Number Information
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NPI Number | 1922998756
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Entity Type | Organization
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Legal Business Name | GABRIEL RODRIGUEZ LORA
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 4520 W 34TH ST
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City | HOUSTON
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State | TX
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Zip | 77092-5952
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Country | US
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Telephone | 832-649-5955
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Fax |
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Provider Business Mailing Address
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Address Line | 4520 W 34TH ST STE A
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City | HOUSTON
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State | TX
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Zip | 77092-5938
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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 | OWNER
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Name | GABRIEL RODRIGUEZ LORA
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Credential | PMNHP
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Telephone | 346-573-5605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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