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General NPI Number Information
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NPI Number | 1124202981
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Entity Type | Organization
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Legal Business Name | DR.LAURENCE RICHMAN
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 12/28/2007
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Provider Practice Location Address
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Address Line | 810 E COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32803-4606
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Country | US
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Telephone | 407-841-8050
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Fax | 407-841-1631
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Provider Business Mailing Address
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Address Line | 810 E COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32803-4606
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Country | US
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Telephone | 407-841-8050
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Fax | 407-841-1631
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAURENCE RICHMAN
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Credential | DPM
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Telephone | 407-841-8050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO443
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License Number State | FL
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