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General NPI Number Information
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NPI Number | 1528390986
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Entity Type | Individual
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Provider Name | PAMELA RHOADES L.AC.
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Gender | Female
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Dates
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Enumeration Date | 02/09/2010
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 8701 SHOAL CREEK BLVD SUITE 302
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City | AUSTIN
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State | TX
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Zip | 78757-6864
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Country | US
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Telephone | 512-619-2224
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Fax | 512-420-8573
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Provider Business Mailing Address
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Address Line | 3201 DUVAL RD APT. 1116
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City | AUSTIN
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State | TX
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Zip | 78759-3551
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Country | US
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Telephone | 512-619-2224
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Fax | 512-420-8573
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State | TX
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