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General NPI Number Information
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NPI Number | 1033197306
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Entity Type | Individual
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Provider Name | WILLIAM B RICKS MD
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Gender | Male
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 01/14/2014
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Provider Practice Location Address
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Address Line | 17480 HIGH ST
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City | LOS GATOS
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State | CA
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Zip | 95030-6200
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Country | US
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Telephone | 408-497-2472
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Fax | 408-354-5543
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Provider Business Mailing Address
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Address Line | 17480 HIGH ST
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City | LOS GATOS
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State | CA
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Zip | 95030-6200
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Country | US
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Telephone | 408-497-2472
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Fax | 408-354-5543
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | G23415
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License Number State | CA
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