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General NPI Number Information
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NPI Number | 1730288226
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Entity Type | Organization
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Legal Business Name | RICHARD DUANE FERRER
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 05/19/2010
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Provider Practice Location Address
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Address Line | 3034 TULARE ST
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City | FRESNO
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State | CA
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Zip | 93721-1415
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Country | US
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Telephone | 559-438-3069
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Fax | 559-438-2369
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Provider Business Mailing Address
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Address Line | PO BOX 576
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City | KINGSBURG
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State | CA
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Zip | 93631-0576
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Country | US
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Telephone | 559-273-8270
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Fax | 559-318-9379
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. RICHARD D FERRER SR.
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Credential | RRT, RCP
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Telephone | 559-273-8270
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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 | 22357
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License Number State | CA
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