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General NPI Number Information
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NPI Number | 1689594111
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Entity Type | Organization
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Legal Business Name | ASCENT INTEGRATED SPECIALISTS, PLLC
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 2515 CYCLONE DR STE B
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City | WATERLOO
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State | IA
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Zip | 50701-9715
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Country | US
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Telephone | 319-888-8044
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Fax |
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Provider Business Mailing Address
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Address Line | 2515 CYCLONE DR STE B
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City | WATERLOO
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State | IA
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Zip | 50701-9715
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | KENNY DAVID RODRIGUEZ
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Credential | MD
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Telephone | 720-998-1069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number |
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License Number State |
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