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General NPI Number Information
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NPI Number | 1407176191
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Entity Type | Individual
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Provider Name | VIVIAN ANN RICE AP
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Gender | Female
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 06/04/2010
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Provider Practice Location Address
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Address Line | 16317 S TAMIAMI TRL
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City | FORT MYERS
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State | FL
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Zip | 33908-5326
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Country | US
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Telephone | 239-362-0668
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Fax |
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Provider Business Mailing Address
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Address Line | 8200 MATANZAS RD
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City | FORT MYERS
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State | FL
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Zip | 33967-3477
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Country | US
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Telephone | 239-267-0474
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP1324
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License Number State | FL
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