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General NPI Number Information
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NPI Number | 1780305409
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Entity Type | Individual
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Provider Name | RHEA RANDHAWA AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/09/2022
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 148 SKYVIEW DR
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City | MT STERLING
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State | KY
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Zip | 40353-1496
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Country | US
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Telephone | 859-499-0717
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Fax |
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Provider Business Mailing Address
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Address Line | 148 SKYVIEW DR
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City | MT STERLING
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State | KY
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Zip | 40353-1496
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Country | US
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Telephone | 859-499-0717
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1093610
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4011266
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License Number State | KY
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