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NPI 1386716595

NPI 1386716595 : MICHAEL GENE RHODE MD : APO, AE

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General NPI Number Information
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    NPI Number           |    1386716595
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL GENE RHODE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/14/2006
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    Last Update Date     |    07/03/2024
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Provider Practice Location Address
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    Address Line         |    UNIT 5210 BOX 230 
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    City                 |    APO
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    State                |    AE
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    Zip                  |    09461-5210
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    Country              |    US
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    Telephone            |    314-226-8834
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    UNIT 5210 BOX 230 
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    City                 |    APO
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    State                |    AE
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    Zip                  |    09461-5210
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    Country              |    US
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    Telephone            |    
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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        |    207ZP0007X
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    Taxonomy Name        |    Molecular Genetic Pathology (Pathology) Physician
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    License Number       |    S6496
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    207ZP0102X
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    Taxonomy Name        |    Anatomic Pathology & Clinical Pathology Physician
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    License Number       |    35174-20
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    License Number State |    WI
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Taxonomy #3
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    Taxonomy Code        |    2083A0100X
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    Taxonomy Name        |    Aerospace Medicine Physician
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    License Number       |    35174-20
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    License Number State |    WI
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