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General NPI Number Information
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NPI Number | 1467364844
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Entity Type | Organization
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Legal Business Name | RL SPICE LLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 5238 VALLEYPOINTE PKWY STE 1A
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City | ROANOKE
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State | VA
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Zip | 24019-3066
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Country | US
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Telephone | 540-783-5291
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Fax |
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Provider Business Mailing Address
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Address Line | 5220 OAKMONT CIR
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City | ROANOKE
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State | VA
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Zip | 24019-2632
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Country | US
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Telephone | 540-783-5291
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Fax | 540-566-4679
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | MR. RICHARD SPICE
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Credential | C.PED, CFO
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Telephone | 540-783-5291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224L00000X
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Taxonomy Name | Pedorthist
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License Number |
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License Number State |
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