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General NPI Number Information
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NPI Number | 1275131013
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Entity Type | Organization
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Legal Business Name | ELDEN M RICE DDS PC
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Dates
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Enumeration Date | 10/14/2020
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | 3712 CANYON LAKE DR
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City | RAPID CITY
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State | SD
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Zip | 57702-3198
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Country | US
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Telephone | 605-342-3939
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Fax | 605-341-2766
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Provider Business Mailing Address
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Address Line | 3712 CANYON LAKE DR
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City | RAPID CITY
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State | SD
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Zip | 57702-3198
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Country | US
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Telephone | 605-342-3939
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Fax | 605-341-2766
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Authorized Official
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Title or Position | OWNER/ DENTIST
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Name | DR. ELDEN MURRAY RICE I
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Credential | DDS
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Telephone | 707-280-3506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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