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General NPI Number Information
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NPI Number | 1629626452
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Entity Type | Individual
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Provider Name | CHERYLITA RICHARDSON
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Gender | Female
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 1107 N POINT BLVD STE 227
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City | BALTIMORE
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State | MD
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Zip | 21224-3470
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Country | US
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Telephone | 410-213-5154
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Fax | 410-779-3794
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Provider Business Mailing Address
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Address Line | 1107 N POINT BLVD STE 227
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City | BALTIMORE
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State | MD
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Zip | 21224-3470
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Country | US
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Telephone | 410-213-5154
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Fax | 410-779-3794
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | A00008526
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License Number State | MD
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