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General NPI Number Information
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NPI Number | 1285843235
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Entity Type | Individual
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Provider Name | HEIDI H RICHARDSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 910 W 5TH AVE SUITE 700
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City | SPOKANE
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State | WA
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Zip | 99204-2966
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Country | US
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Telephone | 509-838-2531
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3649
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City | SPOKANE
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State | WA
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Zip | 99220-3649
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Country | US
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Telephone | 509-838-2531
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | R6805
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 37335
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 37335
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD60027943
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | MD60027943
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License Number State | WA
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