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General NPI Number Information
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NPI Number | 1548492135
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Entity Type | Individual
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Provider Name | REBECCA K RICHARDS-HACK
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Gender | Female
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Dates
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Enumeration Date | 08/14/2009
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 1915 WHITE AVE
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City | KNOXVILLE
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State | TN
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Zip | 37916-2300
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Country | US
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Telephone | 865-331-2863
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Fax | 865-331-2823
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Provider Business Mailing Address
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Address Line | 3 NEENAH CTR
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City | NEENAH
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State | WI
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Zip | 54956-3070
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Country | US
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Telephone | 920-830-5900
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Fax | 920-830-5910
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A145849
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024189701
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 33508
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License Number State | TN
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