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General NPI Number Information
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NPI Number | 1528338407
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Entity Type | Organization
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Legal Business Name | T. ROBERT RHODIN M.D. LLC
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 03/28/2014
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Provider Practice Location Address
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Address Line | 1010 MEDICAL CENTER DR STE 130
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City | HARDEEVILLE
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State | SC
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Zip | 29927-3448
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Country | US
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Telephone | 843-784-3611
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Fax | 843-784-3711
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Provider Business Mailing Address
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Address Line | 1010 MEDICAL CENTER DR STE 130
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City | HARDEEVILLE
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State | SC
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Zip | 29927-3448
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Country | US
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Telephone | 843-784-3611
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Fax | 843-784-3711
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Authorized Official
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Title or Position | OWNER
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Name | THOR ROBERT RHODIN
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Credential |
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Telephone | 843-784-3611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 17149
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License Number State | SC
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