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NPI 1467973438

NPI 1467973438 : KARL FREDERICK RIGLESBERGER MSW, LSW : RENO, NV

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General NPI Number Information
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    NPI Number           |    1467973438
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    Entity Type          |    Individual 
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    Provider Name        |    KARL FREDERICK RIGLESBERGER MSW, LSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/29/2017
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    Last Update Date     |    06/29/2017
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Provider Practice Location Address
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    Address Line         |    9925 SANDHAVEN CT 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89506-4515
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    Country              |    US
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    Telephone            |    775-972-9455
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    Fax                  |    775-826-1113
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Provider Business Mailing Address
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    Address Line         |    PO BOX 21445 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89515-1445
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    Country              |    US
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    Telephone            |    775-971-7749
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    7023-S
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    License Number State |    NV
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