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General NPI Number Information
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NPI Number | 1063946226
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Entity Type | Organization
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Legal Business Name | HELP ME RHONDA
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Dates
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Enumeration Date | 04/14/2017
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Last Update Date | 04/14/2017
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Provider Practice Location Address
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Address Line | 5919 SUNNY CIRCLE
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City | MIRA LOMA
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State | CA
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Zip | 91752
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Country | US
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Telephone | 951-285-6359
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Fax |
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Provider Business Mailing Address
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Address Line | 5919 SUNNY CIR
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City | MIRA LOMA
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State | CA
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Zip | 91752-2147
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Country | US
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Telephone | 951-285-6359
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Fax | 951-681-3174
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Authorized Official
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Title or Position | CNA
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Name | MS. RHONDA LANE DURFEE
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Credential | CNA
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Telephone | 951-285-6359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 00875325
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License Number State | CA
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