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General NPI Number Information
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NPI Number | 1972793008
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Entity Type | Individual
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Provider Name | THOMAS J RIORDAN LIC. AC.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 2024 CHERRY HILL DR SUITE 107
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City | COLUMBIA
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State | MO
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Zip | 65203-5921
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Country | US
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Telephone | 573-447-4180
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Fax |
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Provider Business Mailing Address
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Address Line | 6 MERCURY DR
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City | SHREWSBURY
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State | MA
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Zip | 01545-1933
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Country | US
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Telephone | 573-447-4180
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 212575
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License Number State | MA
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