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General NPI Number Information
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NPI Number | 1457686768
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Entity Type | Organization
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Legal Business Name | RICHARD R ONDRIZEK MD PA
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 02/17/2010
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Provider Practice Location Address
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Address Line | 11797 SOUTH FWY SUITE 242
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City | BURLESON
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State | TX
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Zip | 76028-7026
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Country | US
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Telephone | 817-568-1981
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Fax | 817-568-1981
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Provider Business Mailing Address
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Address Line | 914 ROYAL CT
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City | BURLESON
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State | TX
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Zip | 76028-3340
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Country | US
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Telephone | 817-568-1981
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Fax | 817-568-9714
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. RICHARD R ONDRIZEK
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Credential | MD
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Telephone | 817-568-1981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | K7587
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License Number State | TX
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