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NPI 1053315309

NPI 1053315309 : VIOLET FRANCES RICE FNP : ODESSA, WA

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General NPI Number Information
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    NPI Number           |    1053315309
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    Entity Type          |    Individual 
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    Provider Name        |    VIOLET FRANCES RICE FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/01/2005
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    Last Update Date     |    12/18/2018
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Provider Practice Location Address
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    Address Line         |    510 E AMENDE DR 
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    City                 |    ODESSA
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    State                |    WA
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    Zip                  |    99159-7003
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    Country              |    US
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    Telephone            |    509-982-2614
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 190 
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    City                 |    ODESSA
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    State                |    WA
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    Zip                  |    99159-0190
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    Country              |    US
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    Telephone            |    907-376-3007
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    AP60913506
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    296
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    License Number State |    AK
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Taxonomy #3
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    296
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    License Number State |    AK
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Taxonomy #4
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    296
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    License Number State |    AK
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Taxonomy #5
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    AP60913506
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    License Number State |    WA
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