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General NPI Number Information
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NPI Number | 1285764480
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Entity Type | Individual
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Provider Name | RICHARDSON L MCGUIRE D.D.S., M.S.D.
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Gender | Male
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 6500 N. MOPAC EXPRESSWAY BUILDING 2 SUITE 2207
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City | AUSTIN
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State | TX
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Zip | 78731-3286
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Country | US
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Telephone | 512-452-7668
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Fax | 512-452-7663
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Provider Business Mailing Address
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Address Line | 6500 N. MOPAC EXPRESSWAY BLDG 2 SUITE 2207
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City | AUSTIN
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State | TX
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Zip | 78731-3286
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Country | US
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Telephone | 512-452-7668
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Fax | 512-452-7663
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 22400
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License Number State | TX
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