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General NPI Number Information
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NPI Number | 1063682078
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Entity Type | Individual
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Provider Name | PATRICIA RICHARDS MD
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Gender | Female
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | WILMINGTON VAMC 1601 KIRKWOOD HIGHWAY
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City | WILMINGTON
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State | DE
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Zip | 19805
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Country | US
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Telephone | 302-994-2511
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Fax |
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Provider Business Mailing Address
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Address Line | 8605 KITTAMA DR
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City | CLINTON
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State | MD
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Zip | 20735-3179
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Country | US
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Telephone |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D0071280
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD036729
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License Number State | DC
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