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General NPI Number Information
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NPI Number | 1407701154
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Entity Type | Individual
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Provider Name | BONITA F RICHARDSON CERTIFICATION
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Gender | Female
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | 1717 PENNSYLVANIA AVE NW STE 1025
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City | WASHINGTON
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State | DC
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Zip | 20006-3951
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Country | US
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Telephone | 202-902-3468
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Fax |
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Provider Business Mailing Address
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Address Line | 528 50TH PL NE APT 21
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City | WASHINGTON
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State | DC
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Zip | 20019-5408
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Country | US
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Telephone | 202-902-3468
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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 | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 0226600531
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License Number State | DC
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