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General NPI Number Information
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NPI Number | 1487112066
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Entity Type | Individual
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Provider Name | FREDA CATHERINE RICHIE RN
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Gender | Female
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 05/09/2019
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Provider Practice Location Address
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Address Line | 211 BUCKINGHAM PL
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City | HEWITT
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State | TX
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Zip | 76643
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Country | US
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Telephone | 254-300-2359
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Fax | 254-300-5761
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Provider Business Mailing Address
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Address Line | 211 BUCKINGHAM PL
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City | HEWITT
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State | TX
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Zip | 76643
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Country | US
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Telephone | 254-300-2359
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Fax | 254-300-5761
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 720969
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State | NULL
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