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General NPI Number Information
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NPI Number | 1154543817
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Entity Type | Organization
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Legal Business Name | RICH LUMAZZA THERAPY, INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 06/15/2010
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Provider Practice Location Address
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Address Line | 2467 ENTERPRISE RD STE E
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City | CLEARWATER
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State | FL
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Zip | 33763-1724
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Country | US
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Telephone | 727-692-8417
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Fax |
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Provider Business Mailing Address
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Address Line | 2293 EDYTHE DR
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City | DUNEDIN
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State | FL
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Zip | 34698-2568
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Country | US
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Telephone | 727-738-0344
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD L LUMAZZA
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Credential | LMT
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Telephone | 727-692-8417
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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 | MA15640
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License Number State | FL
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