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Individual
THOMAS J RICHARDSON
Active
Individual
THOMAS J RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
00730
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000730CT03
BCBS OF CT
CT
01
—
CT00730
LANDMARK/HEALTHNET
CT
Enumeration date
02/05/2007
Last updated
03/10/2008
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