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General NPI Number Information
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NPI Number | 1245874098
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Entity Type | Individual
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Provider Name | VICTORIA KURR RICHARDSON I M.S.
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Gender | Female
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 3701 FERNHILL AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-6133
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Country | US
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Telephone | 203-241-5875
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Fax |
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Provider Business Mailing Address
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Address Line | 107 WILGATE RD
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3325
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Country | US
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Telephone | 203-241-5875
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 09536
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License Number State | MD
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