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General NPI Number Information
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NPI Number | 1184132284
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Entity Type | Individual
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Provider Name | ZACHARY ROBERT RIECKER DC
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Gender | Male
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Dates
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Enumeration Date | 01/11/2018
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 11802 N 56TH ST
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-1652
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Country | US
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Telephone | 551-427-4435
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Fax |
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Provider Business Mailing Address
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Address Line | 11802 N 56TH ST
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-1652
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Country | US
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Telephone | 813-985-1322
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC011336
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH14268
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License Number State | FL
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