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General NPI Number Information
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NPI Number | 1962571992
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Entity Type | Individual
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Provider Name | JAMES ERIC RICHARDSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 979 E 3RD ST STE C235
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City | CHATTANOOGA
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State | TN
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Zip | 37403-3309
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Country | US
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Telephone | 423-602-8400
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Fax | 423-602-8401
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Provider Business Mailing Address
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Address Line | 835 WINDY HILL DR
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City | CHATTANOOGA
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State | TN
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Zip | 37421-4568
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Country | US
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Telephone | 770-570-2861
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 053601
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 053601
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 56139
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 56139
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License Number State | TN
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