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General NPI Number Information
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NPI Number | 1124897327
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Entity Type | Individual
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Provider Name | MICHELLE RHODES
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Gender | Female
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 11841 SUMMERS RD
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City | CHESTERLAND
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State | OH
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Zip | 44026-1845
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Country | US
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Telephone | 216-376-1888
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 54
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City | NOVELTY
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State | OH
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Zip | 44072-0054
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Country | US
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Telephone | 216-376-1888
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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