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General NPI Number Information
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NPI Number | 1841485455
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Entity Type | Organization
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Legal Business Name | ROBERT W RIGG JR. MD
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 20181 SATICOY ST
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City | CANOGA PARK
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State | CA
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Zip | 91306-2506
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Country | US
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Telephone | 818-709-5700
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Fax | 818-709-8214
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Provider Business Mailing Address
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Address Line | 20181 SATICOY ST
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City | CANOGA PARK
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State | CA
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Zip | 91306-2506
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Country | US
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Telephone | 818-709-5700
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Fax | 818-709-8214
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | ROBERT RIGG JR.
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Credential | MD
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Telephone | 818-709-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G050286
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License Number State | CA
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