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General NPI Number Information
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NPI Number | 1952736720
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Entity Type | Individual
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Provider Name | ADAM DAVID RHODA P.T., D.P.T.
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Gender | Male
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 07/07/2021
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Provider Practice Location Address
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Address Line | 1335 W. MAIN ST SUITE B
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City | LOWELL
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State | MI
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Zip | 49331-1555
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Country | US
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Telephone | 616-888-3184
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30516 DEPT 5300
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City | LANSING
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State | MI
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Zip | 48909-8016
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Country | US
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Telephone | 616-262-2233
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT60326237
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501016017
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT4044
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12192-24
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License Number State | WI
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