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General NPI Number Information
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NPI Number | 1174634679
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Entity Type | Individual
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Provider Name | TODD ALAN RICHARDSON D.C.P.A.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 726 N MARKET ST
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City | WILMINGTON
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State | DE
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Zip | 19801-3009
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Country | US
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Telephone | 302-427-2990
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Fax | 302-427-2994
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Provider Business Mailing Address
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Address Line | 708 ASH BLVD
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City | MIDDLETOWN
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State | DE
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Zip | 19709-8871
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Country | US
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Telephone | 302-449-0149
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Fax | 302-449-2041
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | F1-0000462
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License Number State | DE
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