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NPI Code Detail

MEDICARE: MS. RHONDA MAELING RUCERETO AU.D., CCC-A

MEDICARE: MS. RHONDA MAELING RUCERETO AU.D., CCC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist1972KS
2231H00000XAudiologist2002020510MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12002023852OTHERMOHEARING AID LICENSE
22002020510OTHERMOAUDIOLOGY LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497705578
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RHONDA MAELING RUCERETO AU.D., CCC-A
Provider Business Mailing Address
First Line : 501 NW BARRY RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-2732
Country : US
Telephone Number : 816-413-2519
Fax Number :
Provider Business Practice Location Address
First Line : 501 NW BARRY RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-2732
Country : US
Telephone Number : 816-413-2519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 04/15/2021

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