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General NPI Number Information
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NPI Number | 1497725709
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Entity Type | Individual
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Provider Name | JOHN N RICCARDO DO
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Gender | Male
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 363 E LANCASTER AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2941
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Country | US
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Telephone | 610-910-9888
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Fax | 484-237-8743
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Provider Business Mailing Address
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Address Line | 363 E LANCASTER AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2941
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Country | US
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Telephone | 610-910-9888
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Fax | 484-237-8743
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS012424
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License Number State | PA
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