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General NPI Number Information
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NPI Number | 1053384750
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Entity Type | Individual
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Provider Name | LEONARD A RICHARDSON MD
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Gender | Male
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Dates
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Enumeration Date | 02/12/2006
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Last Update Date | 07/07/2024
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Provider Practice Location Address
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Address Line | 9520 BERGER RD STE 212
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City | COLUMBIA
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State | MD
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Zip | 21046-1543
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Country | US
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Telephone | 410-381-8078
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Fax | 443-445-4111
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Provider Business Mailing Address
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Address Line | 8401 SUMMIT AVE
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City | WINDSOR MILL
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State | MD
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Zip | 21244-1169
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Country | US
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Telephone | 410-336-4932
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Fax | 443-445-4111
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0057722
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | D0057722
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0057722
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License Number State | MD
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