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General NPI Number Information
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NPI Number | 1174662597
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Entity Type | Individual
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Provider Name | WILLIAM R RHODES
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 547 DAYTON ST
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City | EDMONDS
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State | WA
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Zip | 98020-3431
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Country | US
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Telephone | 425-771-5166
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Fax | 425-670-2807
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Provider Business Mailing Address
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Address Line | 8101 280TH PL NW
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City | STANWOOD
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State | WA
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Zip | 98292-4701
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Country | US
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Telephone | 425-771-5166
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Fax | 425-670-2807
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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 | SC61395244
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License Number State | WA
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