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General NPI Number Information
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NPI Number | 1669198917
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Entity Type | Individual
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Provider Name | SHAINA RICHARDSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/18/2022
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 1123 KILDAIRE FARM RD
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City | CARY
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State | NC
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Zip | 27511-4522
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Country | US
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Telephone | 919-467-5572
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Fax |
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Provider Business Mailing Address
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Address Line | 540 SUMMER BREEZE DR
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City | DURHAM
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State | NC
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Zip | 27704-2292
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Country | US
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Telephone | 804-283-5804
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 31756
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License Number State | NC
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