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General NPI Number Information
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NPI Number | 1891895058
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Entity Type | Individual
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Provider Name | MARTHA ANN RICE P.A.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 800 ZORN AVE
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City | LOUISVILLE
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State | KY
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Zip | 40206-1433
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Country | US
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Telephone | 502-287-5302
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Fax | 502-287-4749
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Provider Business Mailing Address
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Address Line | 4697 EDWARDSVILLE GALENA RD
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City | FLOYDS KNOBS
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State | IN
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Zip | 47119-9575
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Country | US
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Telephone | 812-923-0143
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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