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General NPI Number Information
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NPI Number | 1023248176
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Entity Type | Organization
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Legal Business Name | MICHELE RICE LPC LLC
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 07/23/2009
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Provider Practice Location Address
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Address Line | 326 W LANCASTER AVE SUITE 211
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City | ARDMORE
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State | PA
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Zip | 19003-1228
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Country | US
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Telephone | 610-649-2267
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Fax | 610-519-9993
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Provider Business Mailing Address
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Address Line | 326 W LANCASTER AVE SUITE 211
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City | ARDMORE
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State | PA
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Zip | 19003-1228
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Country | US
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Telephone | 610-649-2267
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Fax | 610-519-9993
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MICHELE MARIANNE RICE
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Credential | LPC
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Telephone | 610-649-2267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 004915
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License Number State | PA
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