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General NPI Number Information
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NPI Number | 1366846594
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Entity Type | Individual
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Provider Name | RHONDA RONEE EDWARDS LPN,ADMIN,INSTRUCTOR
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Gender | Female
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 10/17/2014
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Provider Practice Location Address
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Address Line | 158 COBB RD
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City | POLAND
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State | ME
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Zip | 04274-6337
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Country | US
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Telephone | 207-998-3730
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 114
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City | MINOT
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State | ME
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Zip | 04258-0114
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Country | US
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Telephone | 120-799-8373
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Fax | 120-799-8373
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0
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License Number State | ME
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