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General NPI Number Information
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NPI Number | 1194837286
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Entity Type | Organization
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Legal Business Name | THE RICHMOND CENTER
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/04/2019
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Provider Practice Location Address
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Address Line | 1619 SOUTH HIGH AVENUE
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City | AMES
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State | IA
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Zip | 50010-8055
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Country | US
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Telephone | 515-232-5811
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Fax | 515-232-7491
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Provider Business Mailing Address
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Address Line | 1619 SOUTH HIGH AVENUE
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City | AMES
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State | IA
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Zip | 50010-8055
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Country | US
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Telephone | 515-232-5811
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Fax | 515-232-7491
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Authorized Official
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Title or Position | CONTROLLER
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Name | MS. PAM BARKLEY
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Credential |
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Telephone | 515-232-5811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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