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General NPI Number Information
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NPI Number | 1346410404
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Entity Type | Individual
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Provider Name | TERRY PATRICK RICH D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 01/14/2011
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Provider Practice Location Address
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Address Line | 4789 VINELAND AVE.
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602
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Country | US
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Telephone | 818-761-1662
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Fax | 818-760-8700
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Provider Business Mailing Address
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Address Line | 15550 ROCKFIELD BLVD B220
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City | IRVINE
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State | CA
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Zip | 92618-2720
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Country | US
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Telephone | 949-598-9999
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Fax | 949-598-9990
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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 | 23962
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License Number State | CA
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