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General NPI Number Information
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NPI Number | 1487925897
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Entity Type | Individual
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Provider Name | EBONY L RHODES
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Gender | Female
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Dates
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Enumeration Date | 01/16/2012
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Last Update Date | 01/16/2012
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Provider Practice Location Address
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Address Line | 130 MEDICAL CIR
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City | NASHVILLE
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State | AR
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Zip | 71852-8606
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Country | US
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Telephone | 870-845-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 MYRNA LN
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72117-9746
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Country | US
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Telephone | 501-240-9729
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | OTR2245
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License Number State | AR
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