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NPI Code Detail

MEDICARE: DANIA LIZBETH RODRIGUEZ CPHT

MEDICARE: DANIA LIZBETH RODRIGUEZ CPHT
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
1183700000XPharmacy Technician296149TX

General Provider Information

NPI Number : 1679242788
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIA LIZBETH RODRIGUEZ CPHT
Provider Business Mailing Address
First Line : 1022 W 10TH AVE
Second Line :
City : CORSICANA
State : TX
Zip : 75110-7004
Country : US
Telephone Number : 903-390-3149
Fax Number :
Provider Business Practice Location Address
First Line : 201 S 15TH ST
Second Line :
City : CORSICANA
State : TX
Zip : 75110-5138
Country : US
Telephone Number : 903-874-6546
Fax Number : 903-874-7569
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2021
Last Update Date : 09/10/2021

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