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General NPI Number Information
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NPI Number | 1306176235
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Entity Type | Individual
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Provider Name | LEVI ANDREW RICE JR. D.O.
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Gender | Male
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Dates
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Enumeration Date | 12/26/2009
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 1 MERCADO ST STE 130
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City | DURANGO
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State | CO
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Zip | 81301-7306
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Country | US
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Telephone | 970-247-1120
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Fax | 970-247-1128
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Provider Business Mailing Address
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Address Line | 221 W. COLORADO BLVD. PAVILION II SUITE 831
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City | DALLAS
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State | TX
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Zip | 75208
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Country | US
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Telephone | 214-933-7430
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Fax | 214-947-8609
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | N5359
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | DR.0061835
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | N5359
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License Number State | TX
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