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NPI 1821057548

NPI 1821057548 : RODNEY W HELM RODNEY HELM : PARK RAPIDS, MN

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General NPI Number Information
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    NPI Number           |    1821057548
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    Entity Type          |    Individual 
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    Provider Name        |    RODNEY W HELM RODNEY HELM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/21/2006
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    Last Update Date     |    04/16/2008
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Provider Practice Location Address
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    Address Line         |    206 PLEASANT AVE S 
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    City                 |    PARK RAPIDS
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    State                |    MN
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    Zip                  |    56470-1417
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    Country              |    US
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    Telephone            |    218-732-3389
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    Fax                  |    218-732-5994
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Provider Business Mailing Address
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    Address Line         |    206 PLEASANT AVE S 
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    City                 |    PARK RAPIDS
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    State                |    MN
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    Zip                  |    56470-1417
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    Country              |    US
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    Telephone            |    218-732-3389
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    Fax                  |    218-732-5994
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    1540
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    License Number State |    MN
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