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NPI 1205063872

NPI 1205063872 : TODD A. RICHARDSON D.C. P.A. : WILMINGTON, DE

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General NPI Number Information
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    NPI Number           |    1205063872
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    Entity Type          |    Organization 
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    Legal Business Name  |    TODD A. RICHARDSON D.C. P.A. 
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Dates
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    Enumeration Date     |    06/22/2009
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    Last Update Date     |    06/29/2009
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Provider Practice Location Address
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    Address Line         |    727 N MARKET ST 
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    City                 |    WILMINGTON
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    State                |    DE
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    Zip                  |    19801-4935
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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         |    727 N MARKET ST 
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    City                 |    WILMINGTON
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    State                |    DE
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    Zip                  |    19801-4935
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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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Authorized Official
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    Title or Position    |    OWNER/CHIROPRACTOR
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    Name                 |    MR. TODD ALAN RICHARDSON 
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    Credential           |    D.C.
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    Telephone            |    302-427-2990
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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       |    F1-0000658
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    License Number State |    DE
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Taxonomy #2
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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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