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General NPI Number Information
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NPI Number | 1962699769
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Entity Type | Organization
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Legal Business Name | RHONDA UNDERWOOD DC PLLC
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 321 S DIXIE ST
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City | HORSE CAVE
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State | KY
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Zip | 42749-1248
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Country | US
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Telephone | 270-786-2225
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Fax | 270-786-3690
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Provider Business Mailing Address
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Address Line | 321 S DIXIE ST
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City | HORSE CAVE
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State | KY
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Zip | 42749-1248
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Country | US
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Telephone | 270-786-2225
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Fax | 270-786-3690
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Authorized Official
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Title or Position | OWNER
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Name | RHONDA LEIGH UNDERWOOD
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Credential | DC
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Telephone | 270-786-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4780
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License Number State | KY
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