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General NPI Number Information
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NPI Number | 1003874470
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Entity Type | Individual
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Provider Name | RICHARD R RICCARDI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 260 MERRIMAC ST
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City | NEWBURYPORT
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State | MA
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Zip | 01950-2192
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Country | US
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Telephone | 978-465-3033
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Fax | 978-685-7265
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Provider Business Mailing Address
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Address Line | 354 MERRIMACK ST BLDG. 1
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City | LAWRENCE
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State | MA
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Zip | 01843-1754
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Country | US
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Telephone | 978-687-2321
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Fax | 978-685-7265
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 227470
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 227470
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 13354
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License Number State | NH
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