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NPI Code Detail

MEDICARE: J FELIX DUARTE RODRIGUEZ

MEDICARE: J FELIX DUARTE RODRIGUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist92074CA
2106H00000XMarriage & Family Therapist62824CA
3106H00000XMarriage & Family Therapist106370CA

General Provider Information

NPI Number : 1518097898
Entity Type Code : Individual
Provider Name (Legal Business Name) : J FELIX DUARTE RODRIGUEZ
Provider Business Mailing Address
First Line : 2560 W SHAW LN STE 104
Second Line :
City : FRESNO
State : CA
Zip : 93711-2777
Country : US
Telephone Number : 559-424-4800
Fax Number :
Provider Business Practice Location Address
First Line : 2560 W SHAW LN STE 104
Second Line :
City : FRESNO
State : CA
Zip : 93711-2777
Country : US
Telephone Number : 559-443-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 10/24/2023

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1184735581 — MRS. YOVANA MUNRO LMFT
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1588701353 — SHAVONNE MICHELLE GARIBAY
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1528190402 — FRESNO YOUTH ADVOCATES
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Directions to “ J FELIX DUARTE RODRIGUEZ ” Practice Location

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