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General NPI Number Information
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NPI Number | 1306026851
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Entity Type | Organization
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Legal Business Name | JAMES F RICHARDSON MD PA
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 304 S MAIN ST
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-2606
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Country | US
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Telephone | 864-967-3920
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Fax | 864-962-1486
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Provider Business Mailing Address
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Address Line | 304 S MAIN ST
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-2606
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Country | US
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Telephone | 864-967-3920
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Fax | 864-962-1486
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JAMES F RICHARDSON
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Credential | MD
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Telephone | 864-967-3920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4473
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License Number State | SC
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