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General NPI Number Information
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NPI Number | 1639478936
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Entity Type | Organization
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Legal Business Name | ERIC T. RICHMAN DPM INC
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Dates
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Enumeration Date | 03/25/2011
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Last Update Date | 04/29/2011
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Provider Practice Location Address
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Address Line | 470 E MILLTOWN RD STE B
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City | WOOSTER
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State | OH
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Zip | 44691-1250
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Country | US
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Telephone | 330-345-8300
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Fax | 330-345-6606
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Provider Business Mailing Address
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Address Line | 470 E MILLTOWN RD STE B
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City | WOOSTER
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State | OH
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Zip | 44691-1250
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Country | US
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Telephone | 330-345-8300
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Fax | 330-345-6606
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIC THOMAS RICHMAN
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Credential | D.P.M.
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Telephone | 330-345-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36001879
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License Number State | OH
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