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General NPI Number Information
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NPI Number | 1144537275
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Entity Type | Organization
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Legal Business Name | RIOLO ORTHODONTICS
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 09/10/2010
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Provider Practice Location Address
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Address Line | 509 OLIVE WAY STE 824
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City | SEATTLE
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State | WA
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Zip | 98101-1769
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Country | US
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Telephone | 206-467-4441
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Fax | 206-467-7235
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Provider Business Mailing Address
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Address Line | 509 OLIVE WAY STE 824
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City | SEATTLE
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State | WA
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Zip | 98101-1769
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Country | US
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Telephone | 206-467-4441
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Fax | 206-467-7235
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER SCOTT RIOLO
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Credential | DDS, MS, PHD
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Telephone | 206-467-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DE 60069695
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License Number State | WA
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