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General NPI Number Information
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NPI Number | 1801134127
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Entity Type | Individual
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Provider Name | JOSHUA D RHODES D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/21/2013
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Last Update Date | 01/21/2013
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Provider Practice Location Address
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Address Line | 3960 VALLEY GATEWAY BLVD SUITE A-1
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City | ROANOKE
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State | VA
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Zip | 24012-6858
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Country | US
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Telephone | 540-520-0332
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Fax |
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Provider Business Mailing Address
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Address Line | 2212 YEAGER AVE NE
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City | ROANOKE
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State | VA
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Zip | 24012-5558
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104557037
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License Number State | VA
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