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General NPI Number Information
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NPI Number | 1053373100
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Entity Type | Individual
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Provider Name | ROBERT DEAN RIERSON MD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 1300 N 12TH ST SUITE 501
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City | PHOENIX
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State | AZ
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Zip | 85006-2848
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Country | US
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Telephone | 602-839-4915
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Fax | 602-839-5112
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Provider Business Mailing Address
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Address Line | 9868 E SIDEWINDER TRL
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-4400
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Country | US
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Telephone | 480-483-8113
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Fax | 480-483-8113
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 7662
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License Number State | AZ
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