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General NPI Number Information
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NPI Number | 1851685945
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Entity Type | Individual
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Provider Name | HEATHER ALETHEA RHODES-HUGHES LPE-I
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Gender | Female
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 05/29/2018
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Provider Practice Location Address
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Address Line | 4505 TANYA CIR
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City | RUSSELLVILLE
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State | AR
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Zip | 72802-8559
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Country | US
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Telephone | 479-886-2652
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Fax | 479-498-4904
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Provider Business Mailing Address
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Address Line | 4505 TANYA CIR
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City | RUSSELLVILLE
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State | AR
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Zip | 72802-8559
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Country | US
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Telephone | 479-886-2652
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 13-04EI
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 13-04EI
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License Number State | AR
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