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General NPI Number Information
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NPI Number | 1558017095
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Entity Type | Individual
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Provider Name | MRS. EMILY J. RHODES
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Gender | Female
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 200 N GATEWAY DR STE B
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City | PROVIDENCE
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State | UT
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Zip | 84332-9001
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Country | US
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Telephone | 435-213-3597
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Fax |
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Provider Business Mailing Address
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Address Line | 798 CANYON VIEW DR
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City | HYRUM
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State | UT
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Zip | 84319-1703
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Country | US
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Telephone | 435-632-5433
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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 | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | 346516-3102
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 346516-4405
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License Number State | UT
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