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General NPI Number Information
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NPI Number | 1750353132
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Entity Type | Individual
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Provider Name | LUIS ERNESTO RIOS JR. M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 02/11/2015
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Provider Practice Location Address
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Address Line | 2409 STOCKTON DR
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-8795
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Country | US
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Telephone | 904-284-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 2409 STOCKTON DR
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-8795
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Country | US
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Telephone | 904-284-8700
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME0055184
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License Number State | FL
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