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General NPI Number Information
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NPI Number | 1679615991
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Entity Type | Organization
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Legal Business Name | CAROL RICE, P.C.
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4510 E CACTUS RD J C PENNEY OPTICAL
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City | PHOENIX
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State | AZ
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Zip | 85032-7702
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Country | US
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Telephone | 602-996-6833
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Fax |
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Provider Business Mailing Address
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Address Line | 6912 E SIENNA BOUQUET PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-7151
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Country | US
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Telephone | 480-488-1497
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CAROL RICE
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Credential | O.D.
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Telephone | 480-488-1497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 493
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License Number State | AZ
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