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NPI 1124848171

NPI 1124848171 : A. RICH, DMD, INC. : DANVILLE, CA

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General NPI Number Information
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    NPI Number           |    1124848171
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    Entity Type          |    Organization 
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    Legal Business Name  |    A. RICH, DMD, INC. 
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Dates
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    Enumeration Date     |    10/15/2024
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    Last Update Date     |    02/03/2025
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Provider Practice Location Address
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    Address Line         |    380 DIABLO RD STE 101 
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    City                 |    DANVILLE
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    State                |    CA
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    Zip                  |    94526-3410
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    Country              |    US
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    Telephone            |    925-269-8626
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    Fax                  |    925-269-2212
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Provider Business Mailing Address
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    Address Line         |    380 DIABLO RD STE 101 
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    City                 |    DANVILLE
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    State                |    CA
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    Zip                  |    94526-3410
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    Country              |    US
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    Telephone            |    925-269-8626
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    Fax                  |    925-269-2212
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ANDREW PATRICK RICH 
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    Credential           |    DMD
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    Telephone            |    925-269-8626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    
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    License Number State |    
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