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General NPI Number Information
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NPI Number | 1790668820
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Entity Type | Organization
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Legal Business Name | RICE MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 692 NW PLACID AVE
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-1012
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Country | US
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Telephone | 305-795-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 11045 SW 216TH ST UNIT 1
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City | MIAMI
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State | FL
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Zip | 33170-3073
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Country | US
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Telephone | 305-795-0600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAURICIO GARCIA LOSADA
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Credential |
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Telephone | 305-795-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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