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General NPI Number Information
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NPI Number | 1972652766
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Entity Type | Individual
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Provider Name | LINDA CLAIRE RICHARDSON-BEAIRD MA RN CNS
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 4601 EXCELSIOR BLVD SUITE 501B
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City | ST. LOUIS PARK
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State | MN
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Zip | 55416
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Country | US
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Telephone | 612-581-6918
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Fax | 952-933-3511
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Provider Business Mailing Address
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Address Line | 4601 EXCELSIOR BLVD SUITE 501B
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City | ST. LOUIS PARK
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State | MN
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Zip | 55416
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Country | US
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Telephone | 612-581-6918
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Fax | 952-933-3511
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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 | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | R0639989
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License Number State | MN
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