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General NPI Number Information
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NPI Number | 1558887463
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Entity Type | Individual
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Provider Name | PAUL A RHODES CRNP-C
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Gender | Male
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 270 N US HIGHWAY 701 BYP
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City | TABOR CITY
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State | NC
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Zip | 28463-9324
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Country | US
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Telephone | 205-223-3777
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Fax |
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Provider Business Mailing Address
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Address Line | 619 TUPELO LN # 2A
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City | LONGS
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State | SC
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Zip | 29568-8965
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-131083
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License Number State | AL
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