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General NPI Number Information
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NPI Number | 1245211028
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Entity Type | Individual
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Provider Name | BUNNIE F RICHIE D.O.
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Gender | Female
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 04/24/2015
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Provider Practice Location Address
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Address Line | 9075 N 103RD PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5701
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Country | US
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Telephone | 480-298-2620
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Fax | 480-699-2329
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Provider Business Mailing Address
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Address Line | 7349 N VIA PASEO DEL SUR SUITE 515 #206
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3765
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Country | US
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Telephone | 480-751-3771
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Fax | 602-482-2982
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 3422
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License Number State | AZ
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