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General NPI Number Information
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NPI Number | 1013000371
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Entity Type | Organization
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Legal Business Name | TADARRO L. RICHARDSON M.D. P.S.C.
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Dates
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Enumeration Date | 10/01/2006
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 310 S LIMESTONE
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City | LEXINGTON
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State | KY
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Zip | 40508-3008
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Country | US
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Telephone | 859-226-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 310 S LIMESTONE
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City | LEXINGTON
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State | KY
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Zip | 40508-3008
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Country | US
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Telephone | 859-226-7000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TADARRO L. RICHARDSON
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Credential | M.D.
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Telephone | 859-226-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | KY20359
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License Number State | KY
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