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General NPI Number Information
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NPI Number | 1770594715
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Entity Type | Individual
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Provider Name | EDWIN F RICHTER III MD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 07/24/2020
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Provider Practice Location Address
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Address Line | 29 HOSPITAL PLAZA STE 495
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City | STAMFORD
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State | CT
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Zip | 06902-3602
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Country | US
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Telephone | 203-316-0610
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Fax | 203-969-7418
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Provider Business Mailing Address
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Address Line | 29 HOSPITAL PLAZA STE 495
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City | STAMFORD
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State | CT
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Zip | 06902-3602
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Country | US
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Telephone | 203-316-0610
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Fax | 203-969-7418
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 043144
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License Number State | CT
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