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General NPI Number Information
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NPI Number | 1487917068
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Entity Type | Individual
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Provider Name | DAMIEN RICHARDSON MD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 7400 N DOBSON RD STE 201
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City | SCOTTSDALE
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State | AZ
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Zip | 85256
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Country | US
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Telephone | 480-733-7400
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Fax | 480-207-2117
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Provider Business Mailing Address
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Address Line | PO BOX 5105
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City | BELFAST
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State | ME
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Zip | 04915-5100
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Country | US
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Telephone | 828-258-8800
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Fax | 828-651-0026
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2025-01292
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 71257
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License Number State | AZ
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