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NPI 1114456688

NPI 1114456688 : REBECCA ANNE RICE DO : ARDEN, NC

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General NPI Number Information
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    NPI Number           |    1114456688
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    Entity Type          |    Individual 
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    Provider Name        |    REBECCA ANNE RICE DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/08/2017
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    Last Update Date     |    11/30/2023
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Provider Practice Location Address
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    Address Line         |    2695 HENDERSONVILLE RD STE 132 
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    City                 |    ARDEN
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    State                |    NC
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    Zip                  |    28704-8576
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    Country              |    US
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    Telephone            |    828-694-8436
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2695 HENDERSONVILLE RD STE 132 
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    City                 |    ARDEN
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    State                |    NC
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    Zip                  |    28704-8576
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    Country              |    US
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    Telephone            |    828-694-8436
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    Fax                  |    828-694-8437
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    5151009445
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    2022-00207
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    License Number State |    NC
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