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General NPI Number Information
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NPI Number | 1689118960
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Entity Type | Organization
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Legal Business Name | ERIN RICHARDSON, LLC
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 13311 TUCKER LAKE DRIVE
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City | LOUISVILLE
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State | KY
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Zip | 40299-4581
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Country | US
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Telephone | 502-370-6703
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Fax | 502-688-6659
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Provider Business Mailing Address
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Address Line | 13311 TUCKER LAKE DRIVE
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City | LOUISVILLE
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State | KY
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Zip | 40299-4581
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Country | US
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Telephone | 502-370-6703
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Fax | 502-688-6659
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Authorized Official
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Title or Position | SLP/OWNER
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Name | MS. ERIN YOUNG RICHARDSON
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Credential | M.A.
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Telephone | 502-370-6703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 138650
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License Number State | KY
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