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General NPI Number Information
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NPI Number | 1265894604
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Entity Type | Organization
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Legal Business Name | JOHN W. RICHARD, MD, PLLC
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 4604 SEBAGO TRL
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City | PLANO
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State | TX
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Zip | 75093-3394
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Country | US
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Telephone | 214-952-3445
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Fax |
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Provider Business Mailing Address
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Address Line | 4604 SEBAGO TRAIL
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City | PLANO
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State | TX
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Zip | 75093
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Country | US
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Telephone | 214-952-3445
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN WESLEY RICHARD III
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Credential | M.D.
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Telephone | 214-952-3445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | N7580
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License Number State | TX
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