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General NPI Number Information
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NPI Number | 1992160329
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Entity Type | Organization
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Legal Business Name | PATRICIA RODRIGUEZ, FNP-C & ASSOCIATES
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 03/09/2016
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Provider Practice Location Address
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Address Line | 1950 JUAN SANCHEZ BLVD SUITE F
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City | SAN LUIS
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State | AZ
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Zip | 85349-6805
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Country | US
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Telephone | 928-550-5641
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Fax | 928-550-5643
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Provider Business Mailing Address
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Address Line | PO BOX 26253
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City | YUMA
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State | AZ
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Zip | 85367-1357
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Country | US
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Telephone | 928-919-9729
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Fax | 928-329-6204
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA ANN RODRIGUEZ
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Credential | FNP-C
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Telephone | 928-318-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN075667
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License Number State | AZ
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