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General NPI Number Information
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NPI Number | 1164890208
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Entity Type | Organization
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Legal Business Name | DORIS M RICE MD
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Dates
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Enumeration Date | 09/07/2015
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Last Update Date | 09/07/2015
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Provider Practice Location Address
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Address Line | 3921 KINGMAN AVE
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City | PORTSMOUTH
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State | VA
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Zip | 23701-2929
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Country | US
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Telephone | 757-399-5000
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Fax | 757-399-0067
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Provider Business Mailing Address
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Address Line | 3921 KINGMAN AVE
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City | PORTSMOUTH
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State | VA
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Zip | 23701-2929
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Country | US
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Telephone | 757-399-5000
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Fax | 757-399-0067
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DORIS M RICE
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Credential | MD
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Telephone | 757-399-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 0101032258
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License Number State | VA
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