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General NPI Number Information
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NPI Number | 1225096829
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Entity Type | Individual
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Provider Name | RICHIE REED ROTH D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 32350 LA HIGHWAY 16 BLDG C
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-1463
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Country | US
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Telephone | 225-664-1456
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Fax | 866-766-9895
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Provider Business Mailing Address
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Address Line | 32350 LA HIGHWAY 16 BLDG C
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-1463
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Country | US
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Telephone | 225-664-1456
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Fax | 866-766-9895
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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 | 1058
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License Number State | LA
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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 | 1264
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License Number State | AR
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