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General NPI Number Information
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NPI Number | 1013985852
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Entity Type | Individual
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Provider Name | LYNNE D RICHARDSON MD
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Gender | Female
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 100TH STREET AND MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-241-0101
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Fax | 212-426-5083
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Provider Business Mailing Address
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Address Line | ONE GUSTAVE LEVY PLACE BOX 1149
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-241-0101
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Fax | 212-426-5083
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 149132
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License Number State | NY
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