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General NPI Number Information
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NPI Number | 1902899735
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Entity Type | Individual
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Provider Name | HENRI CLAUDE RICHARD MD
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Gender | Male
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 650 W LINCOLN TRAIL BLVD
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City | RADCLIFF
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State | KY
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Zip | 40160-2602
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Country | US
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Telephone | 270-351-4342
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Fax | 270-351-5499
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Provider Business Mailing Address
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Address Line | 650 W LINCOLN TRAIL BLVD
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City | RADCLIFF
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State | KY
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Zip | 40160-2602
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Country | US
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Telephone | 270-351-4342
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Fax | 270-351-5499
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 19214
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License Number State | KY
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