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General NPI Number Information
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NPI Number | 1528472255
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Entity Type | Individual
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Provider Name | JEROD RICHARDS MD
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Gender | Male
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Dates
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Enumeration Date | 06/20/2014
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 6045 ALMA RD STE 305
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City | MCKINNEY
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State | TX
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Zip | 75070-2298
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Country | US
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Telephone | 469-487-7848
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Fax | 469-487-7674
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Provider Business Mailing Address
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Address Line | 6045 ALMA RD STE 305
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City | MCKINNEY
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State | TX
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Zip | 75070-2298
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Country | US
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Telephone | 469-487-7848
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Fax | 469-487-7674
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | S2481
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License Number State | TX
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