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General NPI Number Information
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NPI Number | 1881200764
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTHCARE
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 2202 DANIELS CREEK RD
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City | COLLINSVILLE
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State | VA
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Zip | 24078-1370
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Country | US
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Telephone | 276-358-0055
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Fax |
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Provider Business Mailing Address
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Address Line | 2202 DANIELS CREEK RD
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City | COLLINSVILLE
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State | VA
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Zip | 24078-1370
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Country | US
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Telephone | 276-358-0055
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Fax |
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Authorized Official
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Title or Position | DNP/OWNER
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Name | DR. RHONDA K. CLARK
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Credential | DNP, FNP-BC
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Telephone | 276-647-5133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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