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General NPI Number Information
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NPI Number | 1851243786
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Entity Type | Individual
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Provider Name | DONNA YVONNE RICHRDSON
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Gender | Female
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 360 DELL TRL
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City | DUNLAP
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State | TN
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Zip | 37327-5511
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Country | US
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Telephone | 423-949-4651
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Fax |
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Provider Business Mailing Address
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Address Line | 315 ALVIN YORK HWY
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City | WHITWELL
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State | TN
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Zip | 37397-5683
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Country | US
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Telephone | 423-949-4651
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2789
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License Number State | TN
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