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General NPI Number Information
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NPI Number | 1932176765
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Entity Type | Individual
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Provider Name | DONALD WINGFIELD RICHARDSON MD
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Gender | Male
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 855 W BRAMBLETON AVE
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City | NORFOLK
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State | VA
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Zip | 23510-1005
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Country | US
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Telephone | 757-446-5908
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Fax | 757-446-7055
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Provider Business Mailing Address
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Address Line | PO BOX 936
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City | NORFOLK
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State | VA
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Zip | 23501-0936
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Country | US
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Telephone | 757-446-5908
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Fax | 757-446-7055
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101039755
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 0101039755
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 0101039755
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License Number State | VA
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