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General NPI Number Information
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NPI Number | 1447772793
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Entity Type | Individual
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Provider Name | THOMAS DAVID RICE DDS
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Gender | Male
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 109 E AVENUE J
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City | ROBSTOWN
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State | TX
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Zip | 78380-2347
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Country | US
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Telephone | 361-248-1192
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Fax |
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Provider Business Mailing Address
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Address Line | 4114 MEDICAL DR APT 23106
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5668
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Country | US
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Telephone | 817-944-4984
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 33348
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License Number State | TX
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