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General NPI Number Information
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NPI Number | 1881845477
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Entity Type | Organization
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Legal Business Name | RHODES VISION LLC
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Dates
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Enumeration Date | 10/01/2008
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | 211 WALTER SEAHOLM DRIVE UNIT 140
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City | AUSTIN
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State | TX
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Zip | 78701-3826
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Country | US
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Telephone | 512-743-5530
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Fax | 512-494-4497
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Provider Business Mailing Address
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Address Line | 211 WALTER SEAHOLM DRIVE UNIT 140
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City | AUSTIN
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State | TX
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Zip | 78701-3826
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Country | US
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Telephone | 512-743-5530
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Fax | 512-494-4497
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Authorized Official
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Title or Position | DOCTOR OF OPTOMETRY
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Name | COURTNEY E RHODES
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Credential | OD
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Telephone | 512-743-5530
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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 | 07168TG
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License Number State | TX
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