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General NPI Number Information
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NPI Number | 1629022652
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Entity Type | Organization
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Legal Business Name | PIEDMONT EMERGENCY CONSULTANTS, PLC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 459 LOCUST AVE MB 26
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-4808
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Country | US
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Telephone | 434-982-7150
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Fax | 434-982-7147
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Provider Business Mailing Address
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Address Line | PO BOX 11647
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City | DAYTONA BEACH
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State | FL
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Zip | 32120-1647
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Country | US
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Telephone | 386-274-7800
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Fax | 386-274-7801
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL R RICCIARDI
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Credential | MD
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Telephone | 434-982-7150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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