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NPI 1952640021

NPI 1952640021 : DUVIEL RODRIGUEZ PHD., LCSW : PORT SAINT LUCIE, FL

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General NPI Number Information
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    NPI Number           |    1952640021
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    Entity Type          |    Individual 
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    Provider Name        |    DUVIEL RODRIGUEZ PHD., LCSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/08/2013
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    10570 S US HIGHWAY 1 STE 300 
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    City                 |    PORT SAINT LUCIE
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    State                |    FL
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    Zip                  |    34952-5606
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    Country              |    US
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    Telephone            |    772-233-6295
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    Fax                  |    772-607-6701
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Provider Business Mailing Address
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    Address Line         |    5803 NW TREE HOUSE CT 
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    City                 |    PORT SAINT LUCIE
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    State                |    FL
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    Zip                  |    34986-4187
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    Country              |    US
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    Telephone            |    772-233-6295
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    Fax                  |    772-607-6701
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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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