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General NPI Number Information
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NPI Number | 1396156477
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Entity Type | Organization
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Legal Business Name | RICHARDSON CHIROPRACTIC LLC
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 1050 MILLVILLE AVE
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City | HAMILTON
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State | OH
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Zip | 45013-3515
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Country | US
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Telephone | 513-882-2288
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 561
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City | MONROE
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State | OH
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Zip | 45050-0561
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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 | OWNER
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Name | BRANDON RICHARDSON
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Credential | DC
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Telephone | 513-882-2288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3979
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License Number State | OH
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