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General NPI Number Information
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NPI Number | 1336305192
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Entity Type | Individual
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Provider Name | RHONDA KIKER CARR RD, LD, CDE
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Gender | Female
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 2200 W ILLINOIS AVE
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City | MIDLAND
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State | TX
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Zip | 79701-6407
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Country | US
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Telephone | 432-685-1111
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Fax | 432-685-1239
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Provider Business Mailing Address
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Address Line | 4813 TIMBER LN
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City | MIDLAND
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State | TX
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Zip | 79707-2832
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Country | US
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Telephone | 432-520-8160
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Fax | 432-685-1239
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT05107
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License Number State | TX
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