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General NPI Number Information
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NPI Number | 1629180047
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Entity Type | Individual
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Provider Name | JUDY A RICHARDSON MS
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 106 WELLINGTON PL
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City | CINCINNATI
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State | OH
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Zip | 45219-1710
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Country | US
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Telephone | 513-721-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 6500 CRESTRIDGE CIR
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City | CINCINNATI
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State | OH
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Zip | 45213-1052
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Country | US
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Telephone | 513-351-3428
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E0000316
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License Number State | OH
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