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General NPI Number Information
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NPI Number | 1922016898
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Entity Type | Organization
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Legal Business Name | JAMES TRICE MD PA
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 7005 S HAZEL ST
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City | PINE BLUFF
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State | AR
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Zip | 71603-7833
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Country | US
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Telephone | 870-536-3070
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Fax | 870-536-3171
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Provider Business Mailing Address
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Address Line | PO BOX 25306
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City | LITTLE ROCK
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State | AR
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Zip | 72221-5306
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Country | US
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Telephone | 870-536-3070
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Fax | 870-536-3171
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES TRICE
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Credential | M.D.
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Telephone | 870-536-3070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | AR3073
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License Number State | AR
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