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General NPI Number Information
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NPI Number | 1902127863
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Entity Type | Individual
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Provider Name | DAWN MARLEEN RICHARDS PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 4695 MACARTHUR CT FL 11
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-1882
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Country | US
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Telephone | 448-494-9818
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Fax |
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Provider Business Mailing Address
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Address Line | 7348 YOLANDA AVE
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City | RESEDA
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State | CA
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Zip | 91335-2736
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Country | US
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Telephone |
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 4081
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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