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General NPI Number Information
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NPI Number | 1457157166
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Entity Type | Individual
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Provider Name | AERIEL ROSE RICHARDSON RN
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Gender | Female
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Dates
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Enumeration Date | 02/22/2025
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Last Update Date | 02/22/2025
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Provider Practice Location Address
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Address Line | 411 W TIPTON ST
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City | SEYMOUR
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State | IN
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Zip | 47274-2363
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Country | US
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Telephone | 812-522-0136
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 JOLINDA CT
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City | COLUMBUS
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State | IN
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Zip | 47203-3548
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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 |
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 28249937A
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License Number State | IN
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