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General NPI Number Information
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NPI Number | 1922062553
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Entity Type | Organization
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Legal Business Name | RICHARDS LABORATORIES OF TEXAS
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 06/01/2010
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Provider Practice Location Address
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Address Line | 4551 S WESTERN ST #11
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City | AMARILLO
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State | TX
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Zip | 79109-6000
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Country | US
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Telephone | 806-352-2223
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Fax |
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Provider Business Mailing Address
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Address Line | 55 E CENTER ST
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-2233
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Country | US
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Telephone | 801-785-2500
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Fax | 801-785-2521
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ANN LEE RICHARDS
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Credential |
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Telephone | 801-785-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 45D0687935
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License Number State | TX
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