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General NPI Number Information
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NPI Number | 1518955749
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Entity Type | Individual
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Provider Name | RHONDA NELL O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 20221 N 67TH AVE STE E8
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City | GLENDALE
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State | AZ
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Zip | 85308-0602
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Country | US
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Telephone | 623-362-2349
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Fax | 623-362-2850
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Provider Business Mailing Address
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Address Line | 955 W SOUTHERN AVE STE 101
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City | MESA
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State | AZ
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Zip | 85210-4903
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Country | US
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Telephone | 480-961-1865
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Fax | 480-893-8172
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT-001199
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License Number State | AZ
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