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General NPI Number Information
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NPI Number | 1154340453
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Entity Type | Individual
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Provider Name | LAURA M TRICE MD
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 1 MEDICAL VILLAGE DRIVE
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City | EDGEWOOD
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State | KY
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Zip | 41017
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Country | US
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Telephone | 859-301-4688
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Fax | 859-301-2607
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Provider Business Mailing Address
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Address Line | PO BOX 635283
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City | CINCINNATI
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State | OH
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Zip | 45263-5283
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Country | US
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Telephone | 859-301-4688
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Fax | 859-301-2607
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 01086435A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 35439
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 35071032
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 10186435A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 35439
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License Number State | KY
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