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General NPI Number Information
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NPI Number | 1952526519
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Entity Type | Individual
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Provider Name | MONTY RAY RIEGER DDS-PHD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 618B W 1ST ST
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City | WAPATO
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State | WA
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Zip | 98951-1108
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Country | US
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Telephone | 509-877-3243
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Fax |
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Provider Business Mailing Address
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Address Line | 618B W 1ST ST
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City | WAPATO
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State | WA
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Zip | 98951-1108
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Country | US
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Telephone | 509-877-3243
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19908
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License Number State | TX
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