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General NPI Number Information
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NPI Number | 1326261231
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Entity Type | Organization
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Legal Business Name | MAN RIK, INC.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 2501 E AIRLINE RD
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City | VICTORIA
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State | TX
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Zip | 77901-4307
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Country | US
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Telephone | 361-578-9729
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Fax | 361-578-9734
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Provider Business Mailing Address
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Address Line | PO BOX 3443
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City | VICTORIA
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State | TX
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Zip | 77903-3443
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Country | US
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Telephone | 361-578-9729
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Fax | 361-578-9734
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Authorized Official
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Title or Position | OFFICE MANGER
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Name | TINA STAFFORD
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Credential |
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Telephone | 361-578-9729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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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 | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number | 14176
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License Number State | TX
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