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General NPI Number Information
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NPI Number | 1245379395
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Entity Type | Individual
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Provider Name | SHIRLEY THOMPSON-RICHARDS M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 04/16/2009
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Provider Practice Location Address
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Address Line | 7401 OSLER DR STE 211
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City | TOWSON
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State | MD
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Zip | 21204-7622
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Country | US
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Telephone | 410-821-0730
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Fax | 410-821-0732
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Provider Business Mailing Address
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Address Line | 7401 OSLER DR STE 211
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City | TOWSON
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State | MD
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Zip | 21204-7622
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Country | US
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Telephone | 410-821-0730
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Fax | 410-821-0732
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | D0033215
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License Number State | MD
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