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General NPI Number Information
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NPI Number | 1023071735
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Entity Type | Organization
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Legal Business Name | RICHARD N. FIKE
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 09/19/2011
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Provider Practice Location Address
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Address Line | 4737 EL CAMINO AVE
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City | CARMICHAEL
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State | CA
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Zip | 95608-4938
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Country | US
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Telephone | 916-487-3473
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Fax | 916-487-3483
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Provider Business Mailing Address
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Address Line | 4737 EL CAMINO AVE
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City | CARMICHAEL
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State | CA
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Zip | 95608-4938
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Country | US
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Telephone | 916-487-3473
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Fax | 916-487-3483
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD N. FIKE
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Credential | PT
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Telephone | 916-487-3473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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