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General NPI Number Information
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NPI Number | 1659541423
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Entity Type | Organization
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Legal Business Name | RHODES CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 2815 OLD BRANDON RD
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City | PEARL
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State | MS
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Zip | 39208-4704
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Country | US
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Telephone | 601-932-7712
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Fax | 601-932-9352
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Provider Business Mailing Address
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Address Line | 2815 OLD BRANDON RD
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City | PEARL
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State | MS
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Zip | 39208-4704
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Country | US
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Telephone | 601-932-7712
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Fax | 601-932-9352
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Authorized Official
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Title or Position | OWNER
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Name | DR. WARRAN K RHODES
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Credential | D.C.
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Telephone | 601-932-7712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 631
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License Number State | MS
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