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NPI 1184894727

NPI 1184894727 : NEIL A SUN RHODES MD : BROWNING, MT

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General NPI Number Information
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    NPI Number           |    1184894727
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    Entity Type          |    Individual 
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    Provider Name        |    NEIL A SUN RHODES MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/11/2008
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    Last Update Date     |    03/01/2010
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Provider Practice Location Address
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    Address Line         |    760 HOSPITAL CIRCLE 
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    City                 |    BROWNING
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    State                |    MT
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    Zip                  |    59417
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    Country              |    US
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    Telephone            |    406-338-6100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 760 
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    City                 |    BROWNING
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    State                |    MT
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    Zip                  |    59417-0760
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    Country              |    US
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    Telephone            |    406-579-8311
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    11620
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    License Number State |    MT
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