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General NPI Number Information
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NPI Number | 1518633114
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Entity Type | Individual
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Provider Name | MRS. RHONDA TICE
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Gender | Female
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 487 LINCOLN BLVD
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City | STEUBENVILLE
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State | OH
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Zip | 43952-3250
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Country | US
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Telephone | 740-424-4926
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Fax |
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Provider Business Mailing Address
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Address Line | 487 LINCOLN BLVD
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City | STEUBENVILLE
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State | OH
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Zip | 43952-3250
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Country | US
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Telephone | 740-424-4926
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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 | APRN.CNP.0029615
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License Number State | OH
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