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General NPI Number Information
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NPI Number | 1619917630
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Entity Type | Individual
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Provider Name | CYNTHIA J RICHARDS MD
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Gender | Female
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 09/08/2014
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Provider Practice Location Address
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Address Line | 4464 S DIXIE HWY MIDDLETOWN
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City | MIDDLETOWN
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State | OH
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Zip | 45005-5464
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Country | US
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Telephone | 543-649-8008
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Fax | 513-649-8004
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Provider Business Mailing Address
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Address Line | 17 PEACH ORCHARD RD
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City | DAYTON
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State | OH
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Zip | 45419-2552
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Country | US
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Telephone | 937-307-7060
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Fax | 999-999-9999
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35-071071
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License Number State | OH
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