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General NPI Number Information
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NPI Number | 1356569610
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Entity Type | Organization
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Legal Business Name | LOUIS-RICCIARDI ETAL PTR
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 508 MEDICAL CENTER BLVD 2ND FLOOR
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City | CONROE
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State | TX
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Zip | 77304-2808
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Country | US
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Telephone | 936-756-8222
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Fax | 936-756-3472
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Provider Business Mailing Address
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Address Line | 508 MEDICAL CENTER BLVD 2ND FLOOR
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City | CONROE
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State | TX
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Zip | 77304-2808
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Country | US
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Telephone | 936-756-8222
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Fax | 936-756-3472
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Authorized Official
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Title or Position | CFO
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Name | ELIZABETH RICCIARDI
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Credential |
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Telephone | 281-367-7734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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