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General NPI Number Information
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NPI Number | 1770587214
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Entity Type | Individual
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Provider Name | ALAN M RICHARDS PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 70 GLEN COVE RD STE LL5
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-1722
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Country | US
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Telephone | 516-625-1400
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Fax | 516-821-8558
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Provider Business Mailing Address
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Address Line | 70 GLEN COVE RD STE LL5
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-1722
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Country | US
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Telephone | 212-722-8100
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Fax | 212-828-9570
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 000009
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License Number State | NY
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