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General NPI Number Information
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NPI Number | 1548794761
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Entity Type | Individual
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Provider Name | RICKI KUMAR
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Gender | Male
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 688 23 1/2 RD STE 303
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-8904
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Country | US
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Telephone | 970-263-2680
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Fax |
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Provider Business Mailing Address
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Address Line | 5306 OUTLOOK BLVD UNIT 203
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City | PUEBLO
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State | CO
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Zip | 81008-1410
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Country | US
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Telephone | 281-743-1407
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DO3725
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | CDRH.0064856
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License Number State | CO
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