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General NPI Number Information
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NPI Number | 1538577200
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Entity Type | Individual
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Provider Name | KEVIN RICHARDSON AA-C
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Gender | Male
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Dates
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Enumeration Date | 07/25/2014
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 20171 CHASEWOOD PARK DR
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City | HOUSTON
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State | TX
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Zip | 77070-1437
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Country | US
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Telephone | 832-534-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4439
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City | HOUSTON
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State | TX
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Zip | 77210-4439
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Country | US
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Telephone | 713-792-2991
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Fax |
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 1687
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License Number State | TX
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