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General NPI Number Information
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NPI Number | 1770773798
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Entity Type | Individual
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Provider Name | VICKI ANN RICE RN
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Gender | Female
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 900 AVENIDA ACASO SUITE A
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City | CAMARILLO
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State | CA
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Zip | 93012-8749
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Country | US
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Telephone | 805-388-9336
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Fax | 805-482-6324
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Provider Business Mailing Address
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Address Line | 900 AVENIDA ACASO STE A FACTOR SUPPORT NETWORK PHARMACY
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City | CAMARILLO
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State | CA
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Zip | 93012-8749
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Country | US
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Telephone | 805-443-7349
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R022807
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 743414
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License Number State | CA
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