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General NPI Number Information
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NPI Number | 1801816004
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Entity Type | Individual
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Provider Name | KENNETH RICH MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 1401 N TUSTIN AVE STE 130
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City | SANTA ANA
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State | CA
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Zip | 92705-8644
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Country | US
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Telephone | 714-542-3008
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Fax | 714-542-3617
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Provider Business Mailing Address
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Address Line | 506 16TH ST
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-4014
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Country | US
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Telephone | 714-374-9111
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Fax | 714-374-7311
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A50272
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License Number State | CA
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