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General NPI Number Information
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NPI Number | 1124183504
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Entity Type | Individual
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Provider Name | RICHARD MELVIN RIEDY M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 26660 N 160TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-7738
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Country | US
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Telephone | 480-471-7597
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Fax | 480-471-7597
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Provider Business Mailing Address
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Address Line | 28150 N ALMA SCHOOL PKWY 103-476
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-8048
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Country | US
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Telephone | 480-471-7597
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Fax | 480-471-7597
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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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 10405
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License Number State | AZ
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