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General NPI Number Information
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NPI Number | 1205221884
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Entity Type | Individual
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Provider Name | AMY LYNN RICHARDSON NP-C
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Gender | Female
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 615 RIVER WATCH WAY
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City | WINCHESTER
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State | TN
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Zip | 37398-3506
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Country | US
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Telephone | 931-998-2915
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Fax | 931-998-2915
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Provider Business Mailing Address
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Address Line | 615 RIVER WATCH WAY
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City | WINCHESTER
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State | TN
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Zip | 37398-3506
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Country | US
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Telephone | 931-998-2915
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Fax | 319-982-9159
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000019889
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 19889
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License Number State | TN
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