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General NPI Number Information
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NPI Number | 1043426802
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Entity Type | Individual
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Provider Name | KAREN MANLEY RICHARDSON MA, LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 6600 UNIVERSITY PKWY STE 304
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34240-9048
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Country | US
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Telephone | 833-769-3524
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Fax |
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Provider Business Mailing Address
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Address Line | 8701 OLD BARDSTOWN RD STE B
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City | LOUISVILLE
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State | KY
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Zip | 40291-4435
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Country | US
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Telephone | 502-618-2823
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 105761
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT4902
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License Number State | FL
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