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General NPI Number Information
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NPI Number | 1780781849
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Entity Type | Individual
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Provider Name | ILENE RICE LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1880 DUBLIN BLVD SUITE D
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-1293
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Country | US
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Telephone | 719-331-3447
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Fax | 719-481-8595
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Provider Business Mailing Address
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Address Line | 19710 SOARING WING DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80908-2307
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Country | US
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Telephone | 719-331-3447
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Fax | 719-481-8595
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 567
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License Number State | CO
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