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General NPI Number Information
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NPI Number | 1649550534
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Entity Type | Organization
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Legal Business Name | DR. RHONDA HENDRIX, PA
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Dates
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Enumeration Date | 08/23/2011
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 16055 EMERALD COAST PKWY #115
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City | DESTIN
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State | FL
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Zip | 32541
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Country | US
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Telephone | 850-862-9543
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Fax | 850-650-2053
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Provider Business Mailing Address
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Address Line | 16055 EMERALD COAST PKWY #115
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City | DESTIN
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State | FL
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Zip | 32541
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Country | US
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Telephone | 850-862-9543
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Fax | 850-650-2053
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RHONDA AYERS HENDRIX
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Credential | O.D.
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Telephone | 850-862-9543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1131-T
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | S-621
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC2263
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License Number State | FL
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