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General NPI Number Information
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NPI Number | 1609272020
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Entity Type | Individual
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Provider Name | AMYNDA RHODES PSY D
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Gender | Female
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Dates
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Enumeration Date | 11/12/2014
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Last Update Date | 06/20/2019
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Provider Practice Location Address
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Address Line | 6264 S SUNBURY RD STE 400
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City | WESTERVILLE
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State | OH
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Zip | 43081-2972
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Country | US
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Telephone | 740-877-3440
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Fax |
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Provider Business Mailing Address
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Address Line | 6264 S SUNBURY RD STE 400
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City | WESTERVILLE
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State | OH
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Zip | 43081-2972
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Country | US
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Telephone | 740-877-3440
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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 | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 6873
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License Number State | OH
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