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General NPI Number Information
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NPI Number | 1013959345
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Entity Type | Organization
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Legal Business Name | ALITA RICE MD PC
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 19840 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48152-2048
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Country | US
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Telephone | 248-476-1788
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Fax | 248-476-1753
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Provider Business Mailing Address
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Address Line | PO BOX 67000 DEPT 253201
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City | DETROIT
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State | MI
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Zip | 48267-2532
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Country | US
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Telephone | 248-476-1788
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Fax | 248-476-1753
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. ALITA R RICE
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Credential | MD
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Telephone | 248-476-1788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301053820
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License Number State | MI
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