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General NPI Number Information
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NPI Number | 1205826336
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Entity Type | Individual
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Provider Name | AMY K RICHMOND ANP, BC
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Gender | Female
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 801 PEACOCK RD
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City | RICHMOND
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State | IN
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Zip | 47374-2832
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Country | US
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Telephone | 765-277-0864
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Fax |
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Provider Business Mailing Address
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Address Line | 801 PEACOCK RD
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City | RICHMOND
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State | IN
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Zip | 47374-2832
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Country | US
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Telephone | 765-277-0864
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | COA.07779-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 71001608A
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License Number State | IN
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