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NPI Code Detail

MEDICARE: ANGELINA RODOLFO

MEDICARE: ANGELINA RODOLFO
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1902736440
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELINA RODOLFO
Provider Business Mailing Address
First Line : 53 MARION RD
Second Line :
City : WAREHAM
State : MA
Zip : 02571-1406
Country : US
Telephone Number : 774-454-1994
Fax Number :
Provider Business Practice Location Address
First Line : 31 HILLER RD
Second Line :
City : ROCHESTER
State : MA
Zip : 02770-4024
Country : US
Telephone Number : 774-454-1994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “ ANGELINA RODOLFO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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