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General NPI Number Information
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NPI Number | 1548286511
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Entity Type | Individual
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Provider Name | WILLIAM MAX RICH M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 03/02/2017
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Provider Practice Location Address
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Address Line | 6323 N FRESNO ST SUITE 105
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City | FRESNO
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State | CA
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Zip | 93710-5282
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Country | US
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Telephone | 559-431-2443
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Fax | 559-431-0998
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Provider Business Mailing Address
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Address Line | 2625 E DIVISADERO ST SUITE 507
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City | FRESNO
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State | CA
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Zip | 93721-1431
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Country | US
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Telephone |
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | G28911
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | G28911
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License Number State | CA
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