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General NPI Number Information
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NPI Number | 1790695229
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Entity Type | Organization
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Legal Business Name | CANDICE S RICHARDSON, RICHARDSON THERAPY AND MEDICAL TRANSPORTATION CO
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 5119 LISA WAY
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City | SANTA ROSA
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State | CA
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Zip | 95409-3744
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Country | US
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Telephone | 707-888-2048
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Fax | 707-888-2048
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Provider Business Mailing Address
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Address Line | PO BOX 9329
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City | SANTA ROSA
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State | CA
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Zip | 95405-1329
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Country | US
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Telephone | 707-888-2048
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Fax | 707-888-2048
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Authorized Official
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Title or Position | CEO
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Name | CANDICE RICHARDSON
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Credential | LCSW
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Telephone | 707-888-2048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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