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General NPI Number Information
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NPI Number | 1023250560
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Entity Type | Individual
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Provider Name | JASON WILLIAM RODRIGUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 07/13/2025
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Provider Practice Location Address
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Address Line | 1500 N GRANT ST STE 4388
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City | DENVER
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State | CO
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Zip | 80203-1859
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Country | US
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Telephone | 720-235-8281
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Fax | 657-208-2736
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Provider Business Mailing Address
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Address Line | 1500 N GRANT ST STE 4388
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City | DENVER
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State | CO
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Zip | 80203-1859
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Country | US
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Telephone | 720-235-8281
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Fax | 657-208-2736
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR.0051535
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License Number State | CO
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