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General NPI Number Information
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NPI Number | 1871785337
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Entity Type | Individual
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Provider Name | LARRY ALAN RICHARDSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 1230 RAYFORD BND STE 100
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City | SPRING
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State | TX
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Zip | 77386
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Country | US
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Telephone | 281-292-2300
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Fax | 281-367-0605
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Provider Business Mailing Address
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Address Line | 1230 RAYFORD BND STE 100
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City | SPRING
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State | TX
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Zip | 77386-4693
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Country | US
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Telephone | 281-292-2300
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Fax | 281-367-0605
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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 | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | F-4429
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License Number State | TX
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