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NPI 1194315267

NPI 1194315267 : A RICHARD MD LLC : OPELOUSAS, LA

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General NPI Number Information
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    NPI Number           |    1194315267
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    Entity Type          |    Organization 
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    Legal Business Name  |    A RICHARD MD LLC 
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Dates
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    Enumeration Date     |    01/22/2021
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    Last Update Date     |    09/15/2022
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Provider Practice Location Address
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    Address Line         |    208 W BLOCH ST. 
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    City                 |    OPELOUSAS
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    State                |    LA
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    Zip                  |    70570
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    Country              |    US
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    Telephone            |    337-948-1212
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    Fax                  |    337-942-3665
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Provider Business Mailing Address
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    Address Line         |    208 W BLOCH ST. 
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    City                 |    OPELOUSAS
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    State                |    LA
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    Zip                  |    70570
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    Country              |    US
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    Telephone            |    337-948-1212
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    Fax                  |    337-942-3665
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Authorized Official
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    Title or Position    |    OWNER/PHYSICIAN
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    Name                 |    DR. ARLENE CLAIRE RICHARD 
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    Credential           |    MD
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    Telephone            |    337-948-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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