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General NPI Number Information
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NPI Number | 1285927996
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Entity Type | Organization
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Legal Business Name | DAVID RICE, MD, LLC, P.A.
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Dates
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Enumeration Date | 05/27/2011
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Last Update Date | 05/27/2011
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Provider Practice Location Address
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Address Line | 107 BOX SHOP HL
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City | FARMINGTON
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State | ME
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Zip | 04938-5749
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Country | US
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Telephone | 207-860-4090
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Fax |
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Provider Business Mailing Address
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Address Line | 107 BOX SHOP HL
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City | FARMINGTON
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State | ME
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Zip | 04938-5749
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Country | US
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Telephone | 207-860-4090
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAVID L RICE
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Credential | M.D.
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Telephone | 207-860-4090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 017498
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License Number State | ME
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