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General NPI Number Information
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NPI Number | 1649966904
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Entity Type | Individual
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Provider Name | RODOLFO JOEL RASCON DC
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Gender | Male
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Dates
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Enumeration Date | 04/11/2023
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 655 N PALM CANYON DR STE 212
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City | PALM SPRINGS
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State | CA
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Zip | 92262-5529
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Country | US
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Telephone | 760-819-3533
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Fax |
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Provider Business Mailing Address
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Address Line | 7525 SHERMAN HOYT AVE
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City | TWENTYNINE PALMS
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State | CA
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Zip | 92277-3946
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Country | US
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Telephone | 760-529-7513
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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