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General NPI Number Information
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NPI Number | 1669775698
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Entity Type | Individual
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Provider Name | JOANA MARIA RICH M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 05/23/2014
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Provider Practice Location Address
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Address Line | 1900 ENCHANTED WAY SUITE 100
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City | GRAPEVINE
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State | TX
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Zip | 76051
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Country | US
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Telephone | 817-421-1484
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 ENCHANTED WAY SUITE 100
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City | GRAPEVINE
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State | TX
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Zip | 76051
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Country | US
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Telephone | 817-421-1484
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A102456
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | A102456
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | P7551
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License Number State | TX
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