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General NPI Number Information
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NPI Number | 1073257937
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Entity Type | Individual
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Provider Name | DEVIN J RICKS DPM
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Gender | Male
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Dates
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Enumeration Date | 04/26/2022
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 1638 OWEN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3424
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Country | US
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Telephone | 910-484-4191
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Fax |
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Provider Business Mailing Address
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Address Line | 684 N PORT CRESCENT ST
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City | BAD AXE
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State | MI
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Zip | 48413-1275
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Country | US
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Telephone | 989-912-6810
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 1073257937
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License Number State | MI
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