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General NPI Number Information
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NPI Number | 1407892136
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Entity Type | Individual
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Provider Name | LUANN G RICHARDSON CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 117 VIP DR STE 310
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City | WEXFORD
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State | PA
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Zip | 15090-6936
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Country | US
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Telephone | 878-231-6919
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Fax |
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Provider Business Mailing Address
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Address Line | 8150 PERRY HWY STE 201
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City | PITTSBURGH
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State | PA
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Zip | 15237-5200
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Country | US
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Telephone | 412-364-4402
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Fax | 412-364-8037
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP001343B
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP012881
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License Number State | PA
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