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NPI 1245253921

NPI 1245253921 : TAMARA L RHODES RN, MSN, ARNP-BC : PARKERSBURG, WV

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General NPI Number Information
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    NPI Number           |    1245253921
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    Entity Type          |    Individual 
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    Provider Name        |    TAMARA L RHODES RN, MSN, ARNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/25/2006
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    Last Update Date     |    04/05/2012
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Provider Practice Location Address
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    Address Line         |    517 36TH ST 
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    City                 |    PARKERSBURG
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    State                |    WV
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    Zip                  |    26101-1006
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    Country              |    US
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    Telephone            |    304-485-1044
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    Fax                  |    304-422-1861
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Provider Business Mailing Address
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    Address Line         |    3605 MURDOCH AVE 
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    City                 |    PARKERSBURG
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    State                |    WV
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    Zip                  |    26101-1026
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    Country              |    US
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    Telephone            |    304-485-2700
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    Fax                  |    304-485-0481
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    25520
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    License Number State |    WV
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