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General NPI Number Information
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NPI Number | 1174615546
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Entity Type | Individual
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Provider Name | MICHELLE G RHODES LCSW, ATR-BC, NCPSYA
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 06/08/2012
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Provider Practice Location Address
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Address Line | 180 PHILLIES BRIDGE RD
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City | NEW PALTZ
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State | NY
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Zip | 12561-2627
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Country | US
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Telephone | 845-255-8039
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Fax | 845-255-8039
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Provider Business Mailing Address
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Address Line | PO BOX 233
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City | GARDINER
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State | NY
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Zip | 12525-0233
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Country | US
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Telephone | 845-255-8039
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Fax | 845-255-8039
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 077619
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License Number State | NY
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