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NPI Code Detail

MEDICARE: DEBORAH H RICHARDSON MED, NBC-HW

MEDICARE: DEBORAH H RICHARDSON MED, NBC-HW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171400000XHealth & Wellness Coach

General Provider Information

NPI Number : 1386484004
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH H RICHARDSON MED, NBC-HW
Provider Business Mailing Address
First Line : 1010 COLONY WAY
Second Line :
City : ZIONSVILLE
State : IN
Zip : 46077-1120
Country : US
Telephone Number : 317-201-1724
Fax Number :
Provider Business Practice Location Address
First Line : 10 W MARKET ST STE 2900
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46204-2964
Country : US
Telephone Number : 317-522-0844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2024
Last Update Date : 05/30/2024

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