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General NPI Number Information
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NPI Number | 1104526680
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Entity Type | Organization
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Legal Business Name | RICHARDSON SERVICES LLC
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 3419 WESTMINSTER AVE # 1013
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City | DALLAS
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State | TX
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Zip | 75205-1387
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Country | US
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Telephone | 972-210-5093
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Fax |
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Provider Business Mailing Address
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Address Line | 3419 WESTMINSTER AVE # 1013
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City | DALLAS
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State | TX
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Zip | 75205-1387
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Country | US
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Telephone | 972-210-5093
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MINESHA RICHARDSON
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Credential |
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Telephone | 972-210-5093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QV0200X
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Taxonomy Name | VA Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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