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General NPI Number Information
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NPI Number | 1992977201
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Entity Type | Organization
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Legal Business Name | ROSA KATHLEEN RIGGS PH.D. M.D. PLLC
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 04/07/2008
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Provider Practice Location Address
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Address Line | 1614 VERSAILLES RD SUITE 102
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City | LEXINGTON
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State | KY
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Zip | 40504-2402
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Country | US
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Telephone | 859-255-5520
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Fax | 859-254-8255
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Provider Business Mailing Address
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Address Line | 1614 VERSAILLES RD SUITE 102
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City | LEXINGTON
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State | KY
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Zip | 40504-2402
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Country | US
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Telephone | 859-255-5520
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Fax | 859-254-8255
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROSA KATHLEEN RIGGS
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Credential | PH.D. M.D.
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Telephone | 859-255-5520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 17888
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License Number State | KY
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