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General NPI Number Information
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NPI Number | 1467549717
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Entity Type | Individual
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Provider Name | LOUIS D. RICHMOND PHD
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 05/21/2014
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Provider Practice Location Address
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Address Line | 450 BLOOMFIELD AVE. SUITE 201
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City | VERONA
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State | NJ
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Zip | 07044-2000
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Country | US
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Telephone | 973-857-3113
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Fax | 973-857-0249
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Provider Business Mailing Address
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Address Line | 450 BLOOMFIELD AVE. SUITE 201
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City | VERONA
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State | NJ
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Zip | 07044-2000
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Country | US
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Telephone | 973-857-3113
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Fax | 973-857-0249
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | SI02811
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License Number State | NJ
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