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NPI 1922700897

NPI 1922700897 : SAMUEL RICE MD : MEMPHIS, TN

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General NPI Number Information
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    NPI Number           |    1922700897
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    Entity Type          |    Individual 
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    Provider Name        |    SAMUEL RICE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/21/2023
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    Last Update Date     |    12/20/2025
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Provider Practice Location Address
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    Address Line         |    910 MADISON AVE STE 1031 
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    City                 |    MEMPHIS
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    State                |    TN
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    Zip                  |    38103-3403
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    Country              |    US
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    Telephone            |    901-448-5529
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    55 LAKE AVE N 
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    City                 |    WORCESTER
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    State                |    MA
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    Zip                  |    01655-0002
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    Country              |    US
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    Telephone            |    508-334-9750
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    3017142
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    License Number State |    MA
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