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General NPI Number Information
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NPI Number | 1013283233
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Entity Type | Individual
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Provider Name | PETER ANTHONY RICKETTI D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 1544 KUSER RD STE C6
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City | TRENTON
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State | NJ
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Zip | 08619-3830
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Country | US
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Telephone | 609-581-9900
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Fax | 609-581-9905
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Provider Business Mailing Address
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Address Line | 1544 KUSER RD STE C6
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City | TRENTON
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State | NJ
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Zip | 08619-3830
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Country | US
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Telephone | 609-581-9900
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Fax | 609-581-9905
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | OS13538
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 25MB10285900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | OS13538
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 25MB10285900
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License Number State | NJ
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