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General NPI Number Information
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NPI Number | 1407997950
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Entity Type | Organization
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Legal Business Name | EDWIN F. RICHTER, III, MD, LLC
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 32 STRAWBERRY HILL CT 4TH FLOOR SUITE 9
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City | STAMFORD
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State | CT
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Zip | 06902-2594
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Country | US
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Telephone | 203-316-0610
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Fax |
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Provider Business Mailing Address
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Address Line | 32 STRAWBERRY HILL CT 4TH FLOOR SUITE 9
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City | STAMFORD
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State | CT
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Zip | 06902-2594
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Country | US
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Telephone | 203-316-0610
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | EDWIN F. RICHTER III
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Credential | MD
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Telephone | 203-316-0610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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