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General NPI Number Information
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NPI Number | 1932603495
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Entity Type | Individual
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Provider Name | BRANDI NORRELLE RICHARDSON MSN, WHNP
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Gender | Female
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 375 DIXMYTH AVE STE 0.8672
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City | CINCINNATI
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State | OH
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Zip | 45220-2475
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Country | US
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Telephone | 513-862-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 1431 LAUREL PARK DR
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City | CINCINNATI
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State | OH
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Zip | 45214-2644
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN.CNP.020357
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License Number State | OH
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