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General NPI Number Information
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NPI Number | 1801075874
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Entity Type | Individual
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Provider Name | JENNIFER BECKMAN RICHASON MD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 1123 CLAIRMONT RD
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City | DECATUR
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State | GA
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Zip | 30030-1228
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Country | US
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Telephone | 470-512-0591
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Fax | 678-737-1641
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Provider Business Mailing Address
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Address Line | 1123 CLAIRMONT RD
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City | DECATUR
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State | GA
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Zip | 30030-1228
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Country | US
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Telephone | 470-512-0591
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Fax | 678-737-1641
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | E-14671
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 66453
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 29413
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2021040846
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD.43186
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License Number State | AL
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