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General NPI Number Information
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NPI Number | 1174089460
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Entity Type | Individual
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Provider Name | RICHY JOHN RICHARDS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 02/12/2019
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Provider Practice Location Address
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Address Line | 1155 W HENDERSON AVE
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City | PORTERVILLE
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State | CA
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Zip | 93257-1452
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Country | US
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Telephone | 559-784-3317
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Fax |
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Provider Business Mailing Address
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Address Line | 1711 W HENDERSON AVE APT 90
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City | PORTERVILLE
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State | CA
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Zip | 93257-1594
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Country | US
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Telephone | 404-433-4336
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH77711
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License Number State | CA
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