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General NPI Number Information
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NPI Number | 1316561863
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Entity Type | Individual
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Provider Name | HANNAH CATHERINE RICHARDSON
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Gender | Female
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 1909 CUBA AVE STE 5
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5646
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Country | US
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Telephone | 575-489-4616
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Fax |
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Provider Business Mailing Address
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Address Line | 620 AGAVE CT
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City | HOLLOMAN AFB
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State | NM
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Zip | 88330-8818
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SWB-2023-1207
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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