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General NPI Number Information
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NPI Number | 1457390981
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Entity Type | Individual
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Provider Name | JOHN B RICHARDSON JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 2871 ACTON ROAD SUITE 100
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City | BIRMINGHAM
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State | AL
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Zip | 35243-2560
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Country | US
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Telephone | 205-939-0023
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Fax | 205-939-4180
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Provider Business Mailing Address
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Address Line | 2871 ACTON ROAD SUITE 100
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City | BIRMINGHAM
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State | AL
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Zip | 35243-2560
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Country | US
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Telephone | 205-939-0023
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Fax | 205-939-4180
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 10976
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License Number State | AL
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