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General NPI Number Information
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NPI Number | 1568350981
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Entity Type | Individual
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Provider Name | RICKY WEST
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Gender | Male
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 2112 S COULTER ST STE B
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City | AMARILLO
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State | TX
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Zip | 79106-2514
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Country | US
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Telephone | 806-678-5294
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Fax |
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Provider Business Mailing Address
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Address Line | 550 DESERT QUAIL RD
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City | CANYON
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State | TX
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Zip | 79015-1965
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Country | US
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Telephone | 614-361-6536
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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