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General NPI Number Information
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NPI Number | 1548580954
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Entity Type | Individual
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Provider Name | DANIELLE MARIE RIORDAN DDS
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Gender | Female
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 06/08/2010
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Provider Practice Location Address
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Address Line | 80 GAILWOOD DR
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City | SAINT PETERS
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State | MO
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Zip | 63376-6581
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Country | US
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Telephone | 636-928-1100
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Fax | 636-928-1292
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Provider Business Mailing Address
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Address Line | 36 4 SEASONSSHOP CTR # 300
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City | CHESTERFIELD
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State | MO
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Zip | 63017-3103
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Country | US
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Telephone | 636-928-1100
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Fax | 636-928-1292
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2010017628
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License Number State | MO
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