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General NPI Number Information
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NPI Number | 1679553127
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Entity Type | Individual
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Provider Name | ROY RICHARD RICE JR. MD
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Gender | Male
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 8610 DOLCE VITA LN
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City | ODESSA
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State | FL
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Zip | 33556-1938
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Country | US
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Telephone | 813-523-0664
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Fax | 813-926-1116
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Provider Business Mailing Address
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Address Line | 8610 DOLCE VITA LN
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City | ODESSA
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State | FL
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Zip | 33556-1938
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Country | US
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Telephone | 813-523-0664
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Fax | 813-926-1116
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 0101051545
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | ME97435
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | D0059183
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License Number State | MD
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