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General NPI Number Information
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NPI Number | 1447280201
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Entity Type | Individual
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Provider Name | PATRICK RIEKER PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5351 JAYCEE AVE # C SUITE #1
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City | HARRISBURG
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State | PA
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Zip | 17112-2938
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Country | US
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Telephone | 717-545-1745
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Fax |
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Provider Business Mailing Address
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Address Line | 7 S WATER ST APT. E
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City | HUMMELSTOWN
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State | PA
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Zip | 17036-2323
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Country | US
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Telephone | 717-583-1993
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS015018
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License Number State | PA
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