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General NPI Number Information
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NPI Number | 1447900220
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Entity Type | Individual
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Provider Name | MICHELLE LORRAINE RICHARDS RN, CMGT-BC
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Gender | Female
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Dates
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Enumeration Date | 03/25/2022
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 472 POLARIS ST
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City | VIRGINIA BEACH
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State | VA
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Zip | 23461-1935
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Country | US
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Telephone | 757-981-1535
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Fax |
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Provider Business Mailing Address
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Address Line | 472 POLARIS ST
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City | VIRGINIA BEACH
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State | VA
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Zip | 23461-1935
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Country | US
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Telephone | 757-981-1535
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 0001231601
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License Number State | VA
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