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General NPI Number Information
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NPI Number | 1598638405
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Entity Type | Individual
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Provider Name | JORDAN S RHODES
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Gender | Female
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 101 SOUTHHALL LN STE 100
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City | MAITLAND
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State | FL
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Zip | 32751-7239
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Country | US
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Telephone | 407-478-0332
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Fax |
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Provider Business Mailing Address
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Address Line | 1854 SCURRY ISLAND RD
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City | CHAPPELLS
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State | SC
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Zip | 29037-8934
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Country | US
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Telephone | 864-389-2590
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 53518
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License Number State | SC
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