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General NPI Number Information
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NPI Number | 1194677963
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Entity Type | Individual
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Provider Name | JANET LEE RICHARDSON RN, BSN
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Gender | Female
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 116 S MILL CREEK CT
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City | WOODSTOCK
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State | GA
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Zip | 30188-1740
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Country | US
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Telephone | 678-349-4079
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Fax |
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Provider Business Mailing Address
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Address Line | 3683 SOUTHWICK DR NW
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City | KENNESAW
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State | GA
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Zip | 30144-6697
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Country | US
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Telephone | 404-539-8174
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 150796
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License Number State | GA
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