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General NPI Number Information
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NPI Number | 1205949047
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Entity Type | Individual
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Provider Name | ERIN T. RHODES D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 814 S 28TH AVE
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City | HATTIESBURG
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State | MS
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Zip | 39402-2601
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Country | US
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Telephone | 601-264-2607
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Fax |
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Provider Business Mailing Address
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Address Line | 814 S 28TH AVE
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City | HATTIESBURG
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State | MS
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Zip | 39402-2601
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Country | US
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Telephone | 601-264-2607
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3340-05
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License Number State | MS
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