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General NPI Number Information
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NPI Number | 1063436947
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Entity Type | Individual
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Provider Name | BRIAN KEITH RICH MD
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 1816 S FM 51 STE 800
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City | DECATUR
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State | TX
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Zip | 76234-3792
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Country | US
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Telephone | 940-263-0005
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Fax | 877-292-3457
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Provider Business Mailing Address
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Address Line | 4020 N MACARTHUR BLVD STE 122-321
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City | IRVING
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State | TX
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Zip | 75038-6419
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Country | US
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Telephone | 214-395-1891
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 24887
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 24887
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 24887
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | S9055
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License Number State | TX
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