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General NPI Number Information
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NPI Number | 1952054231
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Entity Type | Individual
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Provider Name | SHANNON RHODES NP-C
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Gender | Female
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 10412 WASHINGTON HWY
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City | GLEN ALLEN
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State | VA
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Zip | 23059-1918
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Country | US
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Telephone | 804-538-1652
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Fax | 833-450-0220
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Provider Business Mailing Address
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Address Line | 10412 WASHINGTON HWY
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City | GLEN ALLEN
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State | VA
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Zip | 23059-1918
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Country | US
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Telephone | 804-538-1652
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Fax | 833-450-0220
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024183297
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License Number State | VA
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