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General NPI Number Information
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NPI Number | 1770512642
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Entity Type | Individual
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Provider Name | JUDITH A. RICE FNP
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Gender | Female
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 202 W. FAIRVIEW AVENEU
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City | JOHNSON CITY
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State | TN
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Zip | 37604
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Country | US
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Telephone | 423-434-6478
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Fax | 423-434-0666
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Provider Business Mailing Address
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Address Line | 365 STOUT DRIVE BOX70403
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City | JOHNSON CITY
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State | TN
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Zip | 37614-1703
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Country | US
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Telephone | 423-439-4515
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Fax | 423-439-4060
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN006995
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | APN6995
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License Number State | TN
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