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General NPI Number Information
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NPI Number | 1386665982
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Entity Type | Individual
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Provider Name | CHARLES C RISINGER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 200 N VIRGINIA ST
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City | TERRELL
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State | TX
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Zip | 75160-2732
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Country | US
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Telephone | 972-551-7500
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Fax | 972-524-7418
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Provider Business Mailing Address
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Address Line | 200 N VIRGINIA ST
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City | TERRELL
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State | TX
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Zip | 75160-2732
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Country | US
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Telephone | 972-551-7500
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Fax | 972-524-7418
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G8376
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License Number State | TX
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