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General NPI Number Information
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NPI Number | 1184676488
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Entity Type | Individual
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Provider Name | DONALD E. RICHARDSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 05/31/2018
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Provider Practice Location Address
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Address Line | 1200 PINNACLE PKWY STE 7
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City | COVINGTON
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State | LA
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Zip | 70433
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Country | US
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Telephone | 985-643-4144
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Fax | 985-643-3603
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Provider Business Mailing Address
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Address Line | 1200 PINNACLE PKWY SUITE 7
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City | COVINGTON
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State | LA
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Zip | 70433
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Country | US
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Telephone | 985-643-4144
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Fax | 985-643-3603
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 008094
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 008094
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License Number State | LA
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