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General NPI Number Information
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NPI Number | 1750439543
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Entity Type | Individual
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Provider Name | HAL E. RICHARDSON MD
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | INTERCOMMUNITY EMERGENCY MEDICAL GROUP 12401 EAST WASHINGTON BLVD
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City | WHITTIER
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State | CA
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Zip | 90602
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Country | US
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Telephone | 562-698-0811
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Fax |
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Provider Business Mailing Address
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Address Line | 979 MOODY PLACE
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City | CLAREMONT
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State | CA
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Zip | 91711
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Country | US
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Telephone | 909-625-9271
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A52543
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License Number State | CA
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