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General NPI Number Information
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NPI Number | 1245312065
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Entity Type | Organization
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Legal Business Name | RICHMOND CLINIC, LLC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 6550 MAPLERIDGE ST STE 218
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City | HOUSTON
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State | TX
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Zip | 77081-4647
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Country | US
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Telephone | 713-344-1557
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Fax | 713-344-0434
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Provider Business Mailing Address
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Address Line | 6550 MAPLERIDGE ST STE 218
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City | HOUSTON
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State | TX
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Zip | 77081-4647
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Country | US
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Telephone | 713-344-1557
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Fax | 713-344-0434
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. AUSTIN ORETTE
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Credential | M.D.
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Telephone | 713-344-1557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K0150
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License Number State | TX
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