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General NPI Number Information
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NPI Number | 1205577251
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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 | 04/05/2022
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 1106 STUBBS AVE STE B
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City | MONROE
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State | LA
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Zip | 71201-5641
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Country | US
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Telephone | 318-303-3077
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Fax |
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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
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Name | RHONDA TERESE RUSHING
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Credential | PMHNP-BC
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Telephone | 318-303-3077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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