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NPI 1689928590

NPI 1689928590 : RHMD LLC : INDIALANTIC, FL

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General NPI Number Information
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    NPI Number           |    1689928590
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    Entity Type          |    Organization 
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    Legal Business Name  |    RHMD LLC 
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Dates
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    Enumeration Date     |    10/30/2012
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    Last Update Date     |    09/28/2023
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Provider Practice Location Address
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    Address Line         |    417 5TH AVE APT 101 
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    City                 |    INDIALANTIC
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    State                |    FL
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    Zip                  |    32903-4224
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    Country              |    US
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    Telephone            |    321-254-6803
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    Fax                  |    321-254-6819
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Provider Business Mailing Address
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    Address Line         |    417 5TH AVE APT 101 
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    City                 |    INDIALANTIC
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    State                |    FL
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    Zip                  |    32903-4224
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    Country              |    US
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    Telephone            |    321-254-6803
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    Fax                  |    321-254-6819
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Authorized Official
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    Title or Position    |    MEDICAL DIRECTOR
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    Name                 |     REBECCA PRICE HUNTON 
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    Credential           |    M.D.
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    Telephone            |    321-254-6803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    ME95892
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    207QB0002X
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    Taxonomy Name        |    Obesity Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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