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General NPI Number Information
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NPI Number | 1588998041
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Entity Type | Organization
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Legal Business Name | RICHARD B. FOULKES, M.D. & ASSOCIATES, S.C.
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 6857 CAMROSE DR
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City | LOS ANGELES
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State | CA
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Zip | 90068-3100
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Country | US
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Telephone | 708-955-5678
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Fax |
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Provider Business Mailing Address
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Address Line | 6857 CAMROSE DR
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City | LOS ANGELES
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State | CA
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Zip | 90068-3100
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Country | US
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Telephone | 708-955-5678
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD BRIAN FOULKES
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Credential | MD
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Telephone | 630-724-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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