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General NPI Number Information
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NPI Number | 1962206573
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Entity Type | Individual
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Provider Name | RUTH M RODRIGUEZ
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Gender |
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 3435 WILSHIRE BLVD STE 1840
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City | LOS ANGELES
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State | CA
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Zip | 90010-2004
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Country | US
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Telephone | 323-953-7350
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Fax |
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Provider Business Mailing Address
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Address Line | 3435 WILSHIRE BLVD STE 1840
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City | LOS ANGELES
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State | CA
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Zip | 90010-2004
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Country | US
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Telephone | 323-953-7350
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APCC18692
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License Number State | CA
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