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General NPI Number Information
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NPI Number | 1508904517
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Entity Type | Individual
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Provider Name | RHONDA BROOKS RNC, WHNP
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 214 CHEROKEE RD
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City | THOMASTON
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State | GA
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Zip | 30286-3402
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Country | US
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Telephone | 706-647-9627
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Fax | 706-647-9651
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Provider Business Mailing Address
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Address Line | 108 BRADLEY DR
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City | THOMASTON
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State | GA
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Zip | 30286-2251
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Country | US
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Telephone | 706-647-9627
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Fax | 706-647-9651
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R050475
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License Number State | GA
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