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General NPI Number Information
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NPI Number | 1366985301
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Entity Type | Organization
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Legal Business Name | WILLIAM J RICE MD
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Dates
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Enumeration Date | 11/23/2016
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Last Update Date | 11/23/2016
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Provider Practice Location Address
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Address Line | 7878 N 16TH ST
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City | PHOENIX
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State | AZ
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Zip | 85020-4449
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Country | US
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Telephone | 602-308-7817
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Fax | 602-277-8146
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Provider Business Mailing Address
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Address Line | PO BOX 39179
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City | PHOENIX
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State | AZ
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Zip | 85069-9179
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Country | US
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Telephone | 602-395-0718
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Fax | 602-277-8146
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | MS. LINDA HAMELIN
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Credential |
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Telephone | 602-308-7817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 15563
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 15563
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License Number State | AZ
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