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General NPI Number Information
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NPI Number | 1144914714
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Entity Type | Individual
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Provider Name | VICTORIA RITA RICCIARDI
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Gender | Female
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 942 HYDE PARK AVE
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City | HYDE PARK
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State | MA
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Zip | 02136-3269
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Country | US
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Telephone | 617-364-5141
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Fax |
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Provider Business Mailing Address
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Address Line | 19 TALBUT RD
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City | HOPE
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State | RI
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Zip | 02831-1443
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Country | US
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Telephone | 401-450-6631
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH241484
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License Number State | MA
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