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General NPI Number Information
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NPI Number | 1780834424
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Entity Type | Individual
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Provider Name | KATHERINE ELIZABETH RHODES PT
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Gender | Female
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 09/25/2013
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Provider Practice Location Address
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Address Line | 427 N WENDOVER RD
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City | CHARLOTTE
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State | NC
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Zip | 28211-1064
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Country | US
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Telephone | 704-466-0634
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 EASTOVER RIDGE DR APT 1036
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City | CHARLOTTE
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State | NC
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Zip | 28211-1495
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Country | US
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Telephone | 828-275-1818
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 22711
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 6526
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 11840
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License Number State | NC
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