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General NPI Number Information
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NPI Number | 1144340076
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Entity Type | Organization
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Legal Business Name | DAVID RICH M D INC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 2959 CANFIELD RD SUITES 8 & 9
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City | YOUNGSTOWN
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State | OH
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Zip | 44511-2800
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Country | US
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Telephone | 330-797-0222
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Fax | 330-797-0058
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Provider Business Mailing Address
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Address Line | 2959 CANFIELD RD SUITES 8 & 9
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City | YOUNGSTOWN
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State | OH
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Zip | 44511-2800
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Country | US
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Telephone | 330-797-0222
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Fax | 330-797-0058
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID RICH
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Credential | MD
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Telephone | 330-797-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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