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NPI 1821200742

NPI 1821200742 : CURTIS TODD RIGBY D.O. : NAMPA, ID

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General NPI Number Information
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    NPI Number           |    1821200742
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    Entity Type          |    Individual 
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    Provider Name        |    CURTIS TODD RIGBY D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/04/2007
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    Last Update Date     |    01/17/2008
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Provider Practice Location Address
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    Address Line         |    1512 12TH AVENUE RD. 
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    City                 |    NAMPA
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    State                |    ID
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    Zip                  |    83686
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    Country              |    US
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    Telephone            |    208-467-1171
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1512 12TH AVE RD 
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    City                 |    NAMPA
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    State                |    ID
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    Zip                  |    83686-6008
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    Country              |    US
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    Telephone            |    208-463-5029
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    O-0438
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    License Number State |    ID
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