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General NPI Number Information
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NPI Number | 1972301810
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Entity Type | Individual
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Provider Name | LEILANI MARIE RODRIGUEZ RBT
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Gender | Female
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 260 MARINER BLVD
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City | SPRING HILL
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State | FL
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Zip | 34609-5691
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Country | US
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Telephone | 800-217-9289
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Fax |
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Provider Business Mailing Address
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Address Line | 1269 THORNTON CT
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City | SPRING HILL
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State | FL
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Zip | 34608-7454
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Country | US
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Telephone | 352-398-9326
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-24-383656
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License Number State | FL
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