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General NPI Number Information
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NPI Number | 1326293168
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Entity Type | Individual
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Provider Name | RENEE RHODES
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Gender | Female
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Dates
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Enumeration Date | 11/20/2008
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Last Update Date | 11/20/2008
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Provider Practice Location Address
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Address Line | 20424 HAVILAND AVE
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City | HAYWARD
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State | CA
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Zip | 94541-1967
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Country | US
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Telephone | 510-276-3661
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Fax |
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Provider Business Mailing Address
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Address Line | 2139 SEMINARY AVE # 101
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City | OAKLAND
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State | CA
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Zip | 94621-4170
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Country | US
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Telephone | 510-688-3510
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Fax | 510-278-7933
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | RI-R0605161428
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License Number State | CA
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