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General NPI Number Information
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NPI Number | 1477758902
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Entity Type | Organization
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Legal Business Name | JOHN P RIOUX MD PL
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 21260 OLEAN BLVD SUITE 200
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-6705
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Country | US
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Telephone | 941-625-4270
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Fax | 941-625-1751
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Provider Business Mailing Address
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Address Line | 21260 OLEAN BLVD SUITE 200
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-6705
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Country | US
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Telephone | 941-625-4270
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Fax | 941-625-1751
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN PAUL RIOUX
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Credential | M.D.
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Telephone | 941-625-4270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME72810
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License Number State | FL
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