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General NPI Number Information
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NPI Number | 1336436229
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Entity Type | Individual
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Provider Name | MICHAEL RICARDO D.O., M.S.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 157 ROUTE 73
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City | VOORHEES
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State | NJ
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Zip | 08043-9653
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Country | US
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Telephone | 856-218-0300
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Fax | 856-589-9487
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Provider Business Mailing Address
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Address Line | 401 ROUTE 73 N STE 320
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City | MARLTON
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State | NJ
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Zip | 08053-3426
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Country | US
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Telephone | 856-772-2300
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Fax | 856-589-9487
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MB10440700
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License Number State | NJ
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