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General NPI Number Information
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NPI Number | 1811945983
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Entity Type | Individual
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Provider Name | RODNEY K MCDONALD MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 09/17/2014
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Provider Practice Location Address
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Address Line | 616 S 17TH ST
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City | FORT SMITH
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State | AR
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Zip | 72901-4700
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Country | US
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Telephone | 479-434-3333
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Fax | 479-434-3535
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Provider Business Mailing Address
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Address Line | 616 S 17TH ST
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City | FORT SMITH
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State | AR
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Zip | 72901-4700
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Country | US
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Telephone | 479-434-3333
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Fax | 479-434-3535
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E2441
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License Number State | AR
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