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General NPI Number Information
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NPI Number | 1588663074
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Entity Type | Organization
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Legal Business Name | RIESBECK FOOD MARKETS, INC.
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 55 S 23RD ST
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City | CAMBRIDGE
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State | OH
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Zip | 43725-2180
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Country | US
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Telephone | 740-432-3810
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Fax | 740-432-6803
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Provider Business Mailing Address
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Address Line | 48661 NATIONAL RD W
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City | SAINT CLAIRSVILLE
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State | OH
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Zip | 43950-9701
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Country | US
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Telephone | 740-695-7050
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Fax | 740-695-7555
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Authorized Official
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Title or Position | PRES. & CEO
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Name | MR. RICHARD L RIESBECK
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Credential |
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Telephone | 740-695-7050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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