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General NPI Number Information
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NPI Number | 1376532408
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Entity Type | Individual
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Provider Name | ROBERT RHODES O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1085 SUNSET STRIP
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City | SUNRISE
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State | FL
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Zip | 33313-6105
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Country | US
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Telephone | 954-581-5400
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Fax | 954-581-5496
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Provider Business Mailing Address
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Address Line | 4061 CEDAR CREEK RANCH CIR
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City | LAKE WORTH
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State | FL
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Zip | 33467-3727
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Country | US
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Telephone | 561-969-7430
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Fax | 954-581-5496
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC3448
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License Number State | FL
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