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General NPI Number Information
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NPI Number | 1093095903
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Entity Type | Individual
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Provider Name | RHODA GAYLE FRIEND NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/23/2011
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Last Update Date | 08/23/2011
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Provider Practice Location Address
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Address Line | 2020 W COLORADO AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-3882
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Country | US
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Telephone | 719-632-9699
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9
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City | RUSH
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State | CO
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Zip | 80833-0009
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Country | US
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Telephone | 719-478-5001
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 130386
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License Number State | CO
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