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NPI 1720080187

NPI 1720080187 : FRANK RHODE MD : WATERTOWN, NY

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General NPI Number Information
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    NPI Number           |    1720080187
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    Entity Type          |    Individual 
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    Provider Name        |    FRANK RHODE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/15/2005
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    53-59 PUBLIC SQ SUITE 201
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    City                 |    WATERTOWN
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    State                |    NY
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    Zip                  |    13601-2674
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    Country              |    US
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    Telephone            |    315-782-4950
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    Fax                  |    315-782-3699
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Provider Business Mailing Address
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    Address Line         |    53-59 PUBLIC SQ SUITE 201
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    City                 |    WATERTOWN
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    State                |    NY
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    Zip                  |    13601-2674
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    Country              |    US
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    Telephone            |    315-782-4950
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    Fax                  |    315-782-3699
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    164812
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    License Number State |    NY
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