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General NPI Number Information
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NPI Number | 1720678345
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Entity Type | Individual
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Provider Name | RHONDA HAMPTON-TOLBERT CNA
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Gender | Female
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 16713 MAPLE ST
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-2938
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Country | US
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Telephone | 708-262-4671
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Fax | 708-596-9687
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Provider Business Mailing Address
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Address Line | 16713 MAPLE ST
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-2938
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Country | US
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Telephone | 708-262-4671
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Fax | 708-596-9687
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State | IL
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