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General NPI Number Information
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NPI Number | 1942714324
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Entity Type | Individual
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Provider Name | VARAKA NESHEA RHONE RN, MSN
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Gender | Female
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Dates
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Enumeration Date | 11/21/2017
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Last Update Date | 11/21/2017
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Provider Practice Location Address
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Address Line | 10003 CARLSBAD DR
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City | SHREVEPORT
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State | LA
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Zip | 71115-3424
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Country | US
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Telephone | 318-347-2650
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Fax |
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Provider Business Mailing Address
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Address Line | 10003 CARLSBAD DR
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City | SHREVEPORT
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State | LA
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Zip | 71115-3424
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Country | US
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Telephone | 318-347-2650
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN126194
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License Number State | LA
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