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General NPI Number Information
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NPI Number | 1184200297
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Entity Type | Organization
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Legal Business Name | RHONDA TERESE RUSHING LLC
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Dates
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Enumeration Date | 03/19/2021
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 1501 STUBBS AVE
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City | MONROE
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State | LA
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Zip | 71201-5627
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Country | US
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Telephone | 318-816-5116
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Fax | 318-855-3229
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Provider Business Mailing Address
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Address Line | 130 S RIDGE RD
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City | RAYVILLE
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State | LA
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Zip | 71269-7671
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Country | US
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Telephone | 318-235-1451
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | RHONDA RUSHING
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Credential | PMHNPBC
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Telephone | 318-235-1451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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