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NPI Code Detail

MEDICARE: SAHARA RICE

MEDICARE: SAHARA RICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician0000WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000OTHERWAABAT

General Provider Information

NPI Number : 1487113924
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAHARA RICE
Provider Business Mailing Address
First Line : 1201 PACIFIC AVE STE 600
Second Line :
City : TACOMA
State : WA
Zip : 98402-4384
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 PACIFIC AVE STE 600
Second Line :
City : TACOMA
State : WA
Zip : 98402-4384
Country : US
Telephone Number : 855-581-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2019
Last Update Date : 03/14/2019

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Directions to “ SAHARA RICE ” Practice Location

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