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General NPI Number Information
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NPI Number | 1548592421
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Entity Type | Organization
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Legal Business Name | BRICCIO S. CADIZ, MD PC
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | 1447 HIGHWAY 61 SUITE B
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City | FESTUS
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State | MO
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Zip | 63028-4109
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Country | US
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Telephone | 636-937-7903
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Fax | 636-937-7602
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Provider Business Mailing Address
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Address Line | PO BOX 1237
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City | FESTUS
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State | MO
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Zip | 63028-7237
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Country | US
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Telephone | 636-937-7903
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Fax | 636-937-7602
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRICCIO S CADIZ
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Credential | M.D.
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Telephone | 636-937-7903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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