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General NPI Number Information
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NPI Number | 1831167931
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Entity Type | Individual
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Provider Name | RICHARD THOMPSON GRIPE MD
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 04/20/2017
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Provider Practice Location Address
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Address Line | 412 N MONROE ST
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City | WILLIAMSPORT
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State | IN
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Zip | 47993-1049
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Country | US
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Telephone | 765-762-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 10330 N MERIDIAN ST # 300
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City | INDIANAPOLIS
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State | IN
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Zip | 46290-1024
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Country | US
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Telephone |
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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 | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 01026247A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 01026247A
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License Number State | IN
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