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General NPI Number Information
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NPI Number | 1699773473
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Entity Type | Individual
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Provider Name | ALISHIA ANN RICHIE MD
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Gender | Female
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 02/12/2019
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Provider Practice Location Address
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Address Line | 1080 N DELAWARE AVE STE 800
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City | PHILADELPHIA
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State | PA
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Zip | 19125-4338
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Country | US
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Telephone | 267-463-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 2476 SWEDESFORD RD STE 150
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City | MALVERN
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State | PA
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Zip | 19355-1456
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Country | US
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Telephone | 844-902-2345
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD42086
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License Number State | PA
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