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General NPI Number Information
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NPI Number | 1063865848
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Entity Type | Organization
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Legal Business Name | RONALD S. RICCI DDS INC.
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Dates
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Enumeration Date | 07/18/2016
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Last Update Date | 07/18/2016
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Provider Practice Location Address
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Address Line | 3637 MEDINA RD SUITE #200
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City | MEDINA
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State | OH
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Zip | 44256-9654
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Country | US
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Telephone | 330-725-6182
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Fax |
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Provider Business Mailing Address
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Address Line | 3637 MEDINA RD SUITE #200
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City | MEDINA
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State | OH
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Zip | 44256-9654
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Country | US
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Telephone | 330-725-6182
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CINDY MOLLICA
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Credential |
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Telephone | 33072560182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.24802
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License Number State | OH
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