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General NPI Number Information
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NPI Number | 1427615889
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Entity Type | Individual
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Provider Name | MR. ROBERT HOUSTON RICE JR.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 6926 NE FOURTH PLAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98661-7254
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Country | US
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Telephone | 360-993-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 3415 SE POWELL BLVD
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City | PORTLAND
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State | OR
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Zip | 97202-3371
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Country | US
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Telephone | 888-295-6996
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | OR
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