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General NPI Number Information
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NPI Number | 1316208572
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Entity Type | Organization
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Legal Business Name | DR PAUL T. RICHMAN, P.A.
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Dates
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Enumeration Date | 06/05/2012
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Last Update Date | 06/05/2012
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Provider Practice Location Address
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Address Line | 1045 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5804
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Country | US
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Telephone | 305-891-3306
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Fax | 305-891-4476
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Provider Business Mailing Address
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Address Line | 1045 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5804
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Country | US
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Telephone | 305-891-3306
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Fax | 305-891-4476
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL THEODORE RICHMAN
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Credential | D.D.S.
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Telephone | 305-891-3306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | DN003203
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License Number State | FL
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