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General NPI Number Information
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NPI Number | 1962137182
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Entity Type | Individual
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Provider Name | DIANA M RODRIGUEZ-LOPEZ RPH
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Gender | Female
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Dates
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Enumeration Date | 07/21/2022
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8635 LONG POINT RD STE C
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City | HOUSTON
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State | TX
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Zip | 77055-3037
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Country | US
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Telephone | 713-492-2679
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Fax |
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Provider Business Mailing Address
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Address Line | 5615 SANFORD RD
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City | HOUSTON
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State | TX
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Zip | 77096-6141
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Country | US
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Telephone | 713-501-2047
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 29355
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License Number State | TX
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