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General NPI Number Information
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NPI Number | 1174404016
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Entity Type | Individual
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Provider Name | JASON MARC RUDOLPH PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 48 SOUTH BREEZE DRIVE
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City | WAINSCOTT
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State | NY
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Zip | 11975
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Country | US
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Telephone | 917-750-8400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1006
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City | WAINSCOTT
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State | NY
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Zip | 11975-1006
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Country | US
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Telephone | 917-750-8400
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35868
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 017306
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License Number State | NY
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