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General NPI Number Information
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NPI Number | 1780806331
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Entity Type | Organization
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Legal Business Name | RICHARD A DICKES MD PA
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 310 MADISON AVE SUITE 220
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6967
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Country | US
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Telephone | 973-267-1238
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Fax | 973-540-8849
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Provider Business Mailing Address
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Address Line | 310 MADISON AVE SUITE 220
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6967
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Country | US
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Telephone | 973-267-1238
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Fax | 973-540-8849
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD A DICKES
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Credential | MD
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Telephone | 973-267-1238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA02692400
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License Number State | NJ
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