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General NPI Number Information
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NPI Number | 1477294346
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Entity Type | Individual
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Provider Name | GEOFFREY GEORGE RODRIGUEZ-JASINSKI PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 05/25/2024
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Provider Practice Location Address
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Address Line | 1650 N GRANT ST
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City | DENVER
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State | CO
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Zip | 80203-1602
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Country | US
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Telephone | 303-482-1540
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Fax | 303-482-1545
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Provider Business Mailing Address
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Address Line | 1785 INGALLS ST
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City | LAKEWOOD
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State | CO
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Zip | 80214-1509
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Country | US
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Telephone | 858-336-9018
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 300838
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL.0019836
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License Number State | CO
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