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NPI 1588521108

NPI 1588521108 : MICHAEL GENE RIGGS : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1588521108
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL GENE RIGGS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/06/2026
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    Last Update Date     |    02/23/2026
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Provider Practice Location Address
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    Address Line         |    1728 S CARSON AVE 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74119-4610
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    Country              |    US
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    Telephone            |    918-523-0428
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1000 MEADOWBROOK LN 
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    City                 |    HOWE
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    State                |    OK
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    Zip                  |    74940-2003
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    Country              |    US
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    Telephone            |    918-413-7587
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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        |    175T00000X
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    Taxonomy Name        |    Peer Specialist
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    License Number       |    
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    License Number State |    
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