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General NPI Number Information
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NPI Number | 1407412257
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Entity Type | Individual
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Provider Name | DANIELLE SARAH RICHMAN DDS
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Gender | Female
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Dates
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Enumeration Date | 05/17/2019
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 3690 ORANGE PL STE 540
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City | BEACHWOOD
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State | OH
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Zip | 44122-4464
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Country | US
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Telephone | 216-831-5661
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Fax | 216-831-5378
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Provider Business Mailing Address
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Address Line | 1045 CHAGRIN RIVER RD
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City | GATES MILLS
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State | OH
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Zip | 44040-9701
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Country | US
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Telephone | 216-533-6555
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.025749
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.025749
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License Number State | OH
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