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General NPI Number Information
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NPI Number | 1962536516
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Entity Type | Individual
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Provider Name | RICHARD T. FERRO MD
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Gender | Male
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 10/29/2021
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Provider Practice Location Address
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Address Line | 6832 MARKET ST SUITE A
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City | WILMINGTON
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State | NC
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Zip | 28405-9723
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Country | US
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Telephone | 910-859-2273
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 572
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City | WRIGHTSVILLE BEACH
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State | NC
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Zip | 28480-0572
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Country | US
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Telephone | 919-698-8010
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9801257
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 28120
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 9801257
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License Number State | NC
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