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General NPI Number Information
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NPI Number | 1477417723
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Entity Type | Individual
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Provider Name | CLARE MARIE RICHARDSON
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Gender | Female
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 307 E COTA ST
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City | SHELTON
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State | WA
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Zip | 98584
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Country | US
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Telephone | 360-205-8001
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Fax | 360-836-2820
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Provider Business Mailing Address
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Address Line | 3725 ENSIGN RD NE
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City | OLYMPIA
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State | WA
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Zip | 98506-5089
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Country | US
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Telephone | 206-280-0327
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Fax | 360-836-2820
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN00167623
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License Number State | WA
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