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General NPI Number Information
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NPI Number | 1003349762
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Entity Type | Individual
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Provider Name | RICHARD ANDREW ROSS DPM
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Gender | Male
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Dates
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Enumeration Date | 04/09/2017
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Last Update Date | 07/14/2020
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Provider Practice Location Address
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Address Line | 631A NATIONAL PIKE E
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City | BROWNSVILLE
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State | PA
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Zip | 15417-9603
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Country | US
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Telephone | 724-785-8060
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 W 68TH ST STE 202
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City | HIALEAH
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State | FL
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Zip | 33016-1801
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Country | US
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Telephone |
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO4089
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 10476
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC007077
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License Number State | PA
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