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General NPI Number Information
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NPI Number | 1821418468
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Entity Type | Individual
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Provider Name | CHRISTOPHER CHARLES RICHARDSON D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 3567 W MOUNT WHITNEY AVE
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City | RIVERDALE
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State | CA
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Zip | 93656
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Country | US
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Telephone | 559-867-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 1524 W LACEY BLVD STE 205
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City | HANFORD
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State | CA
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Zip | 93230-5970
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Country | US
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Telephone | 559-537-0060
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | DO.2784
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 20A18177
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | DO.2784
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20A18177
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License Number State | CA
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