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General NPI Number Information
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NPI Number | 1023991098
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Entity Type | Individual
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Provider Name | MICHELLE RICHTER CMT
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Gender |
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 3345 GRAND AVE STE 1
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City | OAKLAND
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State | CA
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Zip | 94610-2772
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Country | US
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Telephone | 954-591-9247
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Fax |
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Provider Business Mailing Address
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Address Line | 1261 10TH AVE APT 6
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-2337
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Country | US
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Telephone | 954-591-9247
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 29926
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 28143
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License Number State | CA
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