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Individual
RICHARD JAMES DUBOCQ
Active
Individual
RICHARD JAMES DUBOCQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
012257
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001020
ANTHEM
ME
01
—
010019451
RR MEDICARE
ME
01
—
1041991
AETNA
ME
05
—
121490000
—
ME
Enumeration date
10/07/2005
Last updated
02/13/2013
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