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General NPI Number Information
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NPI Number | 1508214917
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Entity Type | Individual
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Provider Name | RICHARD D RHOADS JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 13051 S US HIGHWAY 71
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City | GRANDVIEW
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State | MO
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Zip | 64030-2525
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Country | US
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Telephone | 816-673-2810
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Fax |
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Provider Business Mailing Address
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Address Line | 3701 W 106TH ST APT 330
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City | LEAWOOD
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State | KS
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Zip | 66206-8515
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Country | US
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Telephone | 308-293-1061
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2016016664
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License Number State | MO
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