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General NPI Number Information
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NPI Number | 1780836643
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Entity Type | Organization
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Legal Business Name | WILLIAM A TRICE MD PA
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 12/31/2008
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Provider Practice Location Address
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Address Line | 2723 SE MARICAMP RD
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City | OCALA
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State | FL
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Zip | 34471-5537
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Country | US
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Telephone | 352-732-5211
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Fax | 352-629-5391
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Provider Business Mailing Address
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Address Line | 2723 SE MARICAMP RD
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City | OCALA
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State | FL
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Zip | 34471-5537
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Country | US
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Telephone | 352-732-5211
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Fax | 352-629-5391
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM ADAMSON TRICE
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Credential | MD
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Telephone | 352-732-5211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME0025927
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License Number State | FL
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