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General NPI Number Information
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NPI Number | 1477879237
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Entity Type | Individual
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Provider Name | JOSHUA JOSEPH RODGERS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 2205 CORDILLERA WAY
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City | EDWARDS
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State | CO
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Zip | 81632-6290
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Country | US
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Telephone | 970-693-0015
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 CORDILLERA WAY
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City | EDWARDS
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State | CO
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Zip | 81632-6290
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Country | US
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Telephone | 970-693-0015
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | P9713
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR.0064434
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | DR.0064434
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | P9713
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License Number State | TX
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