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NPI 1770729220

NPI 1770729220 : RIPPERGERM.D.,LLC : EVANSVILLE, IN

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General NPI Number Information
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    NPI Number           |    1770729220
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    Entity Type          |    Organization 
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    Legal Business Name  |    RIPPERGERM.D.,LLC 
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Dates
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    Enumeration Date     |    01/05/2009
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    Last Update Date     |    01/15/2009
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Provider Practice Location Address
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    Address Line         |    3700 WASHINGTON AVE STE 2200 
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    City                 |    EVANSVILLE
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    State                |    IN
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    Zip                  |    47750-0001
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    Country              |    US
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    Telephone            |    812-485-7589
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1118 KENYON PL 
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    City                 |    EVANSVILLE
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    State                |    IN
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    Zip                  |    47715-4578
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    Country              |    US
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    Telephone            |    812-477-6730
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. STEVEN GREG RIPPERGER 
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    Credential           |    M.D.
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    Telephone            |    812-477-6730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    01025798A
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    License Number State |    IN
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