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General NPI Number Information
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NPI Number | 1205408390
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Entity Type | Individual
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Provider Name | MR. RICARDO RIOS
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Gender | Male
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 07/16/2021
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Provider Practice Location Address
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Address Line | 5420 WEST LOOP S STE 1500
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City | BELLAIRE
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State | TX
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Zip | 77401-2116
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Country | US
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Telephone | 713-667-6777
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Fax |
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Provider Business Mailing Address
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Address Line | 5420 WEST LOOP S STE 1500
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City | BELLAIRE
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State | TX
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Zip | 77401-2116
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Country | US
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Telephone | 713-667-6777
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Fax | 713-667-6796
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374700000X
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Taxonomy Name | Technician
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License Number |
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License Number State |
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