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General NPI Number Information
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NPI Number | 1457761876
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Entity Type | Individual
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Provider Name | LAUREN RICE
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Gender | Female
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1546 PORTER ST
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City | FREDERICK
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State | MD
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Zip | 21702-9234
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Country | US
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Telephone | 301-619-9038
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Fax |
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Provider Business Mailing Address
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Address Line | USAMEDDAC 2480 LLEWELLYN AVE
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City | FORT GEORGE GMEADE
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State | MD
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Zip | 20755
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C010841
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License Number State | NC
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