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General NPI Number Information
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NPI Number | 1487452827
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Entity Type | Individual
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Provider Name | RHEA A NEYCHERIL DMD
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Gender | Female
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2200 S W S YOUNG DR
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City | KILLEEN
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State | TX
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Zip | 76543-5318
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Country | US
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Telephone | 254-382-8768
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Fax |
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Provider Business Mailing Address
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Address Line | 15 BLUE SKY CT
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City | MISSOURI CITY
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State | TX
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Zip | 77459-1417
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Country | US
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Telephone | 832-525-5008
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 41520
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License Number State | TX
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