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General NPI Number Information
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NPI Number | 1710301296
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Entity Type | Individual
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Provider Name | ALEXANDRA DANAE RHODES
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Gender | Female
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Dates
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Enumeration Date | 02/05/2014
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Last Update Date | 08/16/2019
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Provider Practice Location Address
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Address Line | 247 PROFESSIONAL WAY
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City | SHELTON
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State | WA
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Zip | 98584
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Country | US
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Telephone | 360-426-3102
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Fax |
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Provider Business Mailing Address
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Address Line | 733 RUTLAND AV THE JOHNS HOPKINS SCHOOL OF MEDICINE
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City | BALTIMORE
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State | MD
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Zip | 21205-2109
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD60954444
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License Number State | WA
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