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General NPI Number Information
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NPI Number | 1962409433
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Entity Type | Individual
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Provider Name | ROBERT EUGENE RHEA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 202 N MAIN ST #9
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City | ASHLAND CITY
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State | TN
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Zip | 37015-1362
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Country | US
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Telephone | 615-792-8585
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Fax | 615-792-8555
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Provider Business Mailing Address
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Address Line | 202 N MAIN ST SUITE #9
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City | ASHLAND CITY
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State | TN
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Zip | 37015-1362
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Country | US
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Telephone | 615-792-8585
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Fax | 615-792-8555
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD0000018217
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License Number State | TN
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