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General NPI Number Information
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NPI Number | 1518130533
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Entity Type | Individual
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Provider Name | DAVID LEE RIGGS JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 05/01/2015
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Provider Practice Location Address
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Address Line | 420 34TH ST ATTN: MEDICAL STAFF OFFICE
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2237
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Country | US
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Telephone | 661-327-4647
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Fax | 661-326-8507
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Provider Business Mailing Address
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Address Line | 13929 MAXFIELD RD
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City | JAMUL
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State | CA
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Zip | 91935-3145
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Country | US
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Telephone | 619-944-2046
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A134917
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License Number State | CA
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