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General NPI Number Information
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NPI Number | 1083171094
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Entity Type | Individual
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Provider Name | AMY RICHMOND DC, DAT, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 02/26/2019
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 17060 N THOMPSON PEAK PKWY STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-2558
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Country | US
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Telephone | 609-970-1382
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Fax |
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Provider Business Mailing Address
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Address Line | 7215 E SILVERSTONE DR APT 3106
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4972
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Country | US
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Telephone | 609-970-1382
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | ATR-100156
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT005583
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 9409
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License Number State | AZ
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