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General NPI Number Information
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NPI Number | 1992523393
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Entity Type | Individual
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Provider Name | VANESSA RODRIGUEZ NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 10765 KENWORTHY ST STE A
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City | EL PASO
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State | TX
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Zip | 79924-1748
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Country | US
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Telephone | 915-320-4021
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Fax |
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Provider Business Mailing Address
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Address Line | 13825 SUMMER STORY AVE
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City | EL PASO
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State | TX
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Zip | 79928-2384
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Country | US
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Telephone | 915-258-4295
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1177068
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License Number State | TX
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