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General NPI Number Information
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NPI Number | 1235607664
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Entity Type | Individual
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Provider Name | MICHAEL JAMES RICHARDS FNP
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Gender | Male
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Dates
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Enumeration Date | 11/03/2018
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Last Update Date | 11/03/2018
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Provider Practice Location Address
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Address Line | 3514 BURKE RD STE 200
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City | PASADENA
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State | TX
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Zip | 77504-2302
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Country | US
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Telephone | 832-834-3948
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Fax | 832-834-3929
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Provider Business Mailing Address
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Address Line | 1204 COUNTY ROAD 668
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City | ALVIN
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State | TX
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Zip | 77511-6771
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Country | US
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Telephone | 832-834-3948
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP138704
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License Number State | TX
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