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General NPI Number Information
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NPI Number | 1144258096
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Entity Type | Individual
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Provider Name | MICHAEL C. RIORDAN PSYD.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 2107 S 10TH ST
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City | FORT PIERCE
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State | FL
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Zip | 34950-5318
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Country | US
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Telephone | 772-464-5555
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Fax | 772-468-8378
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Provider Business Mailing Address
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Address Line | PO BOX 3757
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City | FORT PIERCE
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State | FL
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Zip | 34948-3757
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Country | US
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Telephone | 772-464-5555
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Fax | 772-468-8378
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY 4565
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY 4565
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PY 4565
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License Number State | FL
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