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General NPI Number Information
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NPI Number | 1811031255
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Entity Type | Organization
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Legal Business Name | MORISSA F. RICHMAN, O.D., LLC
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 16840 S 36TH PL
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City | PHOENIX
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State | AZ
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Zip | 85048-7989
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Country | US
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Telephone | 602-570-4362
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Fax |
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Provider Business Mailing Address
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Address Line | 16840 S 36TH PL
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City | PHOENIX
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State | AZ
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Zip | 85048-7989
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Country | US
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Telephone | 602-570-4362
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Fax | 480-706-6282
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Authorized Official
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Title or Position | MEMBER
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Name | DR. MORISSA F RICHMAN
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Credential | O.D.
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Telephone | 480-706-1711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 765
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License Number State | AZ
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