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General NPI Number Information
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NPI Number | 1184061293
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Entity Type | Individual
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Provider Name | RIKAT BAROODY M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 593 EDDY ST
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City | PROVIDENCE
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State | RI
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Zip | 02903-4923
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Country | US
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Telephone | 401-444-5180
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Fax | 401-444-6681
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Provider Business Mailing Address
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Address Line | 912 S WASHINGTON AVE
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City | SAGINAW
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State | MI
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Zip | 48601-2564
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Country | US
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Telephone | 989-790-1001
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Fax | 989-790-1002
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | LP02843
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License Number State | RI
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