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General NPI Number Information
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NPI Number | 1982574919
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Entity Type | Individual
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Provider Name | RENATA L RHODES PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 5700 TENNYSON PKWY STE 300
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City | PLANO
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State | TX
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Zip | 75024-3595
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Country | US
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Telephone | 214-470-8062
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 118741
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City | CARROLLTON
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State | TX
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Zip | 75011-8741
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Country | US
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Telephone | 214-470-8062
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 330641
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 86343
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1216925
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License Number State | TX
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