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General NPI Number Information
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NPI Number | 1275332124
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Entity Type | Individual
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Provider Name | ALEX RODRIGUES PSYD
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Gender | Male
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 5046 MEADE ST
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City | DENVER
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State | CO
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Zip | 80221-1034
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Country | US
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Telephone | 631-806-6117
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Fax |
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Provider Business Mailing Address
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Address Line | 23 DOROTHY LN
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City | HOLBROOK
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State | NY
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Zip | 11741-3515
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Country | US
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Telephone | 631-806-6117
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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 | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PSY1000947
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 05606
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 0810005165
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 35SI00597300
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PSY000.4805
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License Number State | CO
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