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General NPI Number Information
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NPI Number | 1710023734
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Entity Type | Organization
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Legal Business Name | JOHN P. RICHARDS, D.O.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 4914 ELK RIVER RD STE A
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City | ELKVIEW
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State | WV
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Zip | 25071-9278
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Country | US
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Telephone | 304-965-7051
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Fax | 304-965-5074
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Provider Business Mailing Address
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Address Line | 4914 ELK RIVER RD STE A
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City | ELKVIEW
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State | WV
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Zip | 25071-9278
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Country | US
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Telephone | 304-965-7051
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Fax | 304-965-5074
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Authorized Official
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Title or Position | OWNER
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Name | JOHN P. RICHARDS
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Credential | D.O.
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Telephone | 304-965-7051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1129
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 1129
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 1129
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License Number State | WV
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