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General NPI Number Information
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NPI Number | 1477062800
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Entity Type | Individual
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Provider Name | JONATHAN RHODES NP-P
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Gender | Male
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1088 HIGHWAY 34
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City | ABERDEEN
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State | NJ
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Zip | 07747-1948
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Country | US
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Telephone | 732-290-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 75 HENRY ST APT 23J
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City | BROOKLYN
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State | NY
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Zip | 11201-1755
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Country | US
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Telephone | 443-974-8386
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 402227
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License Number State | NY
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