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General NPI Number Information
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NPI Number | 1689898322
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Entity Type | Organization
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Legal Business Name | RIOS, MASON, & ASSOCIATES, LLC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 3040 S SENECA ST STE 2
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City | WICHITA
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State | KS
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Zip | 67217-3246
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Country | US
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Telephone | 316-522-6311
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Fax | 316-522-6599
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Provider Business Mailing Address
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Address Line | 3040 S SENECA ST STE 2
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City | WICHITA
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State | KS
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Zip | 67217-3246
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Country | US
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Telephone | 316-522-6311
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Fax | 316-522-6599
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Authorized Official
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Title or Position | MAJORITY PARTNER
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Name | DR. HECTOR G RIOS
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Credential | O.D.
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Telephone | 316-522-6311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1442
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License Number State | KS
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Legacy Identifiers
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Identifier #1
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Identifier Code | 065134
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Identifier Type | OTHER
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Identifier State | KS
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Identifier Issuer | BLUE CROSS
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Identifier #2
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Identifier Code | 200372850A
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Identifier Type | MEDICAID
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Identifier State | KS
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Identifier Issuer |
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 065134
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Identifier Type | OTHER
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Identifier State | KS
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Identifier Issuer | BLUE CROSS
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Identifier #2
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Identifier Code | 200372850A
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Identifier Type | MEDICAID
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Identifier State | KS
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Identifier Issuer |
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