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General NPI Number Information
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NPI Number | 1346568946
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Entity Type | Individual
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Provider Name | RONDALEA ANN RHOADES D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2010
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Last Update Date | 06/04/2015
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Provider Practice Location Address
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Address Line | 551 HILL COUNTRY DR PETERSON REGIONAL MEDICAL CENTER
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City | KERRVILLE
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State | TX
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Zip | 78028-6085
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Country | US
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Telephone | 830-896-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 900 S BELL AVE
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City | CHICAGO
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State | IL
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Zip | 60612-4255
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Country | US
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Telephone | 312-666-6971
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036.131834
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | Q4263
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License Number State | TX
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