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NPI 1497791172

NPI 1497791172 : CHARLES WESLEY RICE JR. D.C : TAMPA, FL

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General NPI Number Information
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    NPI Number           |    1497791172
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    Entity Type          |    Individual 
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    Provider Name        |    CHARLES WESLEY RICE JR. D.C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/21/2006
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    Last Update Date     |    10/29/2025
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Provider Practice Location Address
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    Address Line         |    6541 GUNN HWY 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33625-4021
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    Country              |    US
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    Telephone            |    813-269-0437
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    Fax                  |    813-963-5557
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Provider Business Mailing Address
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    Address Line         |    6541 GUNN HWY 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33625-4021
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    Country              |    US
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    Telephone            |    813-269-0437
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    Fax                  |    813-963-5557
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    CH0007470
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    111NN1001X
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    Taxonomy Name        |    Nutrition Chiropractor
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    License Number       |    CH0007470
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    License Number State |    FL
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