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General NPI Number Information
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NPI Number | 1790417681
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Entity Type | Individual
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Provider Name | VIRIDIANA MADRID RIDDLE DNP, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 212 E 5TH ST
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City | SCOTT CITY
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State | KS
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Zip | 67871-1601
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Country | US
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Telephone | 620-214-2303
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Fax |
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Provider Business Mailing Address
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Address Line | 212 E 5TH ST
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City | SCOTT CITY
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State | KS
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Zip | 67871-1601
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Country | US
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Telephone | 620-872-3706
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Fax | 833-440-2814
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-81332-022
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License Number State | KS
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