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General NPI Number Information
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NPI Number | 1790160372
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Entity Type | Individual
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Provider Name | STEVEN RIOUX M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2015
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Last Update Date | 07/24/2015
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Provider Practice Location Address
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Address Line | 24911 LITTLE MACK AVE STE C
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-3200
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Country | US
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Telephone | 586-447-9075
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Fax |
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Provider Business Mailing Address
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Address Line | 515 RIVERSIDE DRIVE WEST, APT 706
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City | WINDSOR
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State | ONTARIO
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Zip | N2P1P7
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Country | CA
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Telephone | 513-748-4964
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301108108
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License Number State | MI
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