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General NPI Number Information
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NPI Number | 1568797694
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Entity Type | Individual
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Provider Name | REBECCA ELIZABETH RHODES M.S.
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Gender | Female
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 10/07/2009
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Provider Practice Location Address
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Address Line | 127 N BEACON ST
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City | WATERTOWN
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State | MA
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Zip | 02472-2712
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Country | US
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Telephone | 617-926-3600
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Fax | 617-924-1027
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Provider Business Mailing Address
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Address Line | 54 JORDAN RD
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City | BROOKLINE
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State | MA
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Zip | 02446-2316
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Country | US
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Telephone | 617-277-5549
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4218
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License Number State | MA
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