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General NPI Number Information
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NPI Number | 1104907377
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Entity Type | Individual
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Provider Name | ANITA RICH M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 940 SPENCER WAY
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City | LOS ALTOS
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State | CA
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Zip | 94024-4927
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Country | US
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Telephone | 650-963-9222
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Fax |
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Provider Business Mailing Address
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Address Line | 629A E HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-3517
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Country | US
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Telephone | 954-698-9399
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Fax | 954-698-6963
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A74032
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME98042
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 37092
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License Number State | AZ
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