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General NPI Number Information
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NPI Number | 1104085216
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Entity Type | Individual
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Provider Name | JONATHAN DAVID RICHEY DO, MHA
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Gender | Male
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 5236 W UNIVERSITY DR STE 2200
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City | MCKINNEY
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State | TX
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Zip | 75071-8113
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Country | US
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Telephone | 866-406-3376
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Fax | 469-406-1160
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Provider Business Mailing Address
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Address Line | 5236 W UNIVERSITY DR STE 2200
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City | MCKINNEY
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State | TX
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Zip | 75071-8113
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Country | US
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Telephone | 866-406-3376
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Fax | 469-406-1150
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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 | 5101017631
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | P2352
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License Number State | TX
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