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General NPI Number Information
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NPI Number | 1992560676
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Entity Type | Individual
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Provider Name | NINA KATHLEEN RODRIGUEZ SMITH LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/21/2024
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 130 HOPE ST APT 605
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City | BROOKLYN
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State | NY
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Zip | 11211-6081
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Country | US
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Telephone | 203-515-2087
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 LOCH LOMOND CT
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City | ARLINGTON
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State | TX
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Zip | 76012-2767
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Country | US
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Telephone | 817-319-2392
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 120050
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License Number State | NY
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