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General NPI Number Information
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NPI Number | 1043338205
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Entity Type | Organization
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Legal Business Name | ANTHONY RICCI P C
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 1610 WEST ST SUITE 110
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City | ANNAPOLIS
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State | MD
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Zip | 21401-4055
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Country | US
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Telephone | 410-263-6331
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Fax | 410-280-9886
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Provider Business Mailing Address
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Address Line | 1610 WEST ST SUITE 110
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City | ANNAPOLIS
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State | MD
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Zip | 21401-4055
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Country | US
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Telephone | 410-263-6331
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Fax | 410-280-9886
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Authorized Official
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Title or Position | PRESIDENT/CHIROPRACTOR
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Name | DR. ANTHONY T. RICCI
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Credential | D.C.
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Telephone | 410-263-6331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 1542 PT
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License Number State | MD
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