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General NPI Number Information
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NPI Number | 1992943849
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Entity Type | Individual
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Provider Name | ONEKA Y. RICHARDSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 05/14/2021
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Provider Practice Location Address
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Address Line | 611 ALCORN DR
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City | CORINTH
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State | MS
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Zip | 38834-9321
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Country | US
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Telephone | 662-415-9980
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Fax |
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Provider Business Mailing Address
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Address Line | 611 ALCORN DR
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City | CORINTH
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State | MS
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Zip | 38834-9321
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Country | US
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Telephone | 901-590-8118
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N1856
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | N1856
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 21217
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License Number State | MS
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