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General NPI Number Information
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NPI Number | 1700443819
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Entity Type | Individual
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Provider Name | EMILY RICHWOOD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 05/23/2019
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Provider Practice Location Address
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Address Line | 4845 BUCKNALL RD
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City | SAN JOSE
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State | CA
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Zip | 95130-2021
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Country | US
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Telephone | 408-874-3212
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Fax |
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Provider Business Mailing Address
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Address Line | 2076 KIM LOUISE DR
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City | CAMPBELL
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State | CA
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Zip | 95008-2642
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Country | US
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Telephone | 925-719-3810
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | CA
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