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General NPI Number Information
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NPI Number | 1366414104
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Entity Type | Individual
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Provider Name | JOHN FLORIAN RIEDLER MD
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Gender | Male
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 500 VIKING DR SUITE 200
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7477
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Country | US
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Telephone | 757-468-0550
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Fax | 757-468-9992
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Provider Business Mailing Address
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Address Line | 500 VIKING DR SUITE 200
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7477
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Country | US
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Telephone | 757-468-0550
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Fax | 757-468-9992
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 15053
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101054894
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 21876
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 13743
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License Number State | AZ
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