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General NPI Number Information
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NPI Number | 1811329709
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Entity Type | Individual
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Provider Name | PATRICK RICH PT, DPT, SFMA
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Gender | Male
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Dates
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Enumeration Date | 08/02/2013
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 249 CLARKSON RD STE 101
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City | ELLISVILLE
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State | MO
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Zip | 63011
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Country | US
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Telephone | 636-265-1505
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Fax | 636-266-2112
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Provider Business Mailing Address
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Address Line | 2315 HIGHWAY K
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City | O FALLON
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State | MO
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Zip | 63368-8659
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Country | US
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Telephone | 636-265-1505
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Fax | 636-266-2112
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2014005586
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License Number State | MO
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