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General NPI Number Information
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NPI Number | 1104816925
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Entity Type | Individual
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Provider Name | AUDRY G RHODES M.D., M.S., FAAFP
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Gender | Male
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 2211 MAYFAIR DR SUITE 101
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City | OWENSBORO
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State | KY
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Zip | 42301-4568
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Country | US
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Telephone | 270-688-1352
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Fax | 270-683-4313
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Provider Business Mailing Address
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Address Line | PO BOX 23229
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City | OWENSBORO
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State | KY
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Zip | 42304-3229
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Country | US
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Telephone | 270-688-1330
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Fax | 270-688-1338
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01058040A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26465
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 26465
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 26465
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License Number State | KY
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