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General NPI Number Information
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NPI Number | 1548255672
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Entity Type | Individual
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Provider Name | KATHLEEN A RHEAUME M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 34301 23 MILE RD SUITE 100
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City | CHESTERFIELD
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State | MI
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Zip | 48047-4432
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Country | US
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Telephone | 586-725-1770
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Fax | 586-725-4080
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Provider Business Mailing Address
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Address Line | 43455 SCHOENHERR RD STE 2
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-1972
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Country | US
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Telephone | 586-598-2900
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Fax | 586-598-2905
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | KR058573
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License Number State | MI
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