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General NPI Number Information
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NPI Number | 1518294024
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Entity Type | Individual
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Provider Name | YVONNE MARY RHOADES FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 120 SW SARATOGA AVE
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-5976
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Country | US
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Telephone | 843-999-5988
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Fax |
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Provider Business Mailing Address
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Address Line | 120 SW SARATOGA AVE
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-5976
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Country | US
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Telephone | 843-999-5988
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP010794
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3691
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11035434
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License Number State | FL
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