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General NPI Number Information
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NPI Number | 1649730391
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Entity Type | Individual
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Provider Name | RICHY CHARLS
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Gender | Male
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 3435 NE LOOP 286
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City | PARIS
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State | TX
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Zip | 75460-5088
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Country | US
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Telephone | 903-737-0000
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Fax | 903-785-1277
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Provider Business Mailing Address
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Address Line | 4751 ASPIRE BLVD APT 423
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City | CINCINNATI
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State | OH
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Zip | 45236-3571
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Country | US
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Telephone | 214-783-5878
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | V7477
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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