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General NPI Number Information
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NPI Number | 1750382776
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Entity Type | Individual
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Provider Name | NICHOLAS MCCLEAN-RICE MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 19056 GREENBUSH ROAD 19056 GREENBUSH ROAD
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City | PARKSLEY
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State | VA
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Zip | 23421-4632
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Country | US
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Telephone | 757-442-3636
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Fax | 757-442-2319
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Provider Business Mailing Address
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Address Line | 19056 GREENBUSH ROAD
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City | PARKSLEY
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State | VA
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Zip | 23421
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Country | US
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Telephone | 757-442-3636
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Fax | 757-442-2319
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101039168
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 0101039168
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License Number State | VA
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