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General NPI Number Information
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NPI Number | 1285234203
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Entity Type | Individual
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Provider Name | INDIA BLANDON RICHARDSON FNP
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Gender | Female
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2430 ALUMNI DR. CENTER FOR STUDENT WELLNESS
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City | ROCK HILL
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State | SC
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Zip | 29730
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Country | US
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Telephone | 803-323-2206
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Fax | 803-323-3332
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Provider Business Mailing Address
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Address Line | 2430 ALUMNI DR. CENTER FOR STUDENT WELLNESS
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City | ROCK HILL
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State | SC
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Zip | 29730
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Country | US
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Telephone | 803-323-2206
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Fax | 803-323-3332
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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 | 5013739
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26868
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License Number State | SC
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