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Individual
CARMEN R REXRODE
Active
Individual
CARMEN R REXRODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16860
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718817
MS BCBS
WV
05
—
0053317000
—
WV
Enumeration date
02/16/2006
Last updated
03/17/2014
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