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General NPI Number Information
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NPI Number | 1609978329
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Entity Type | Individual
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Provider Name | MICHAEL LLOYD RICHTER MD
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Gender | Male
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | 92 15 63RD DRIVE
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City | REGO PARK
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State | NY
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Zip | 11374
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Country | US
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Telephone | 718-897-6223
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Fax | 718-897-6215
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Provider Business Mailing Address
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Address Line | 92 15 63RD DRIVE
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City | REGO PARK
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State | NY
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Zip | 11374
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Country | US
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Telephone | 718-897-6223
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Fax | 718-897-6215
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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 | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 188671
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 049755
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 142859
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License Number State | NY
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