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General NPI Number Information
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NPI Number | 1023197563
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Entity Type | Individual
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Provider Name | JOHN CLARKE RICHARDS IV PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1701 PROFESSIONAL DR
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City | SACRAMENTO
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State | CA
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Zip | 95825-2104
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Country | US
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Telephone | 916-483-3455
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Fax | 916-483-6745
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Provider Business Mailing Address
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Address Line | 2299 MORLEY WAY
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City | SACRAMENTO
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State | CA
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Zip | 95864-6935
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Country | US
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Telephone | 916-359-4815
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Fax | 916-359-4816
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 45005
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License Number State | CA
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