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General NPI Number Information
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NPI Number | 1427394261
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Entity Type | Individual
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Provider Name | TERRAN MICHAEL HASBROUCK RICE PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 12/26/2012
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 1215 LEE ST
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22908-3676
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Country | US
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Telephone | 434-982-3848
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Fax |
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Provider Business Mailing Address
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Address Line | 1215 LEE STREET PO BOX 800674
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22908-0674
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Country | US
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Telephone | 434-465-0372
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP446714
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 65742
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License Number State | CA
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