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General NPI Number Information
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NPI Number | 1588342828
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Entity Type | Individual
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Provider Name | JACQUELINE RICE APRN
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Gender | Female
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 30 BROAD ST FL 45
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City | NEW YORK
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State | NY
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Zip | 10004-2942
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Country | US
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Telephone | 888-663-6331
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 14161 BINGHAMPTON DR
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City | FORT MYERS
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State | FL
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Zip | 33905-5571
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 357690
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11025318
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License Number State | FL
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