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General NPI Number Information
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NPI Number | 1720116221
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Entity Type | Organization
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Legal Business Name | RIVERTREE RESOURCE RT CONSULTING AND EDUCATION
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1902 AVENUE G NW SUITE I 1
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City | CHILDRESS
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State | TX
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Zip | 79201-3310
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Country | US
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Telephone | 940-937-0400
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Fax | 940-937-0401
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Provider Business Mailing Address
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Address Line | PO BOX 155
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City | ESTELLINE
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State | TX
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Zip | 79233-0155
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Country | US
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Telephone | 940-937-0400
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Fax | 940-937-0401
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Authorized Official
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Title or Position | OWNER
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Name | ALICIA ANN POLLARD
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Credential | RRT RCP
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Telephone | 940-937-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0093345
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License Number State | TX
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