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General NPI Number Information
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NPI Number | 1245196047
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Entity Type | Individual
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Provider Name | JEFFREY JACK RICE MD
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Gender | Male
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Dates
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Enumeration Date | 12/24/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 2121 LOHMANS CROSSING RD STE 504-308
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City | LAKEWAY
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State | TX
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Zip | 78734-5217
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Country | US
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Telephone | 210-802-1956
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 LOHMANS CROSSING RD STE 504-308
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City | LAKEWAY
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State | TX
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Zip | 78734-5217
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Country | US
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Telephone |
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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 | 209800000X
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Taxonomy Name | Legal Medicine (M.D./D.O.) Physician
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License Number | RICE-R56EQ6
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License Number State | NC
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