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General NPI Number Information
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NPI Number | 1811513997
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Entity Type | Individual
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Provider Name | YNEKA TRAVON RHODES
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Gender | Female
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 108 W FIRE TOWER RD STE G
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City | WINTERVILLE
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State | NC
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Zip | 28590-8408
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Country | US
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Telephone | 252-227-4523
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Fax | 252-253-6263
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Provider Business Mailing Address
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Address Line | 108 W FIRE TOWER RD STE G
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City | WINTERVILLE
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State | NC
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Zip | 28590-8408
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Country | US
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Telephone | 252-227-4523
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Fax | 252-253-6263
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | HC5601
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HC5601
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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