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General NPI Number Information
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NPI Number | 1316755192
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Entity Type | Individual
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Provider Name | ROBIN ELLEN RICKARD LMT
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Gender | Female
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Dates
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Enumeration Date | 12/25/2024
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Last Update Date | 12/25/2024
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Provider Practice Location Address
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Address Line | 162 W 56TH ST STE 205
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City | NEW YORK
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State | NY
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Zip | 10019-8009
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Country | US
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Telephone | 917-656-8866
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Fax |
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Provider Business Mailing Address
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Address Line | 160 KNOWLTON RD
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City | COLUMBIA
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State | NJ
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Zip | 07832-2013
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Country | US
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Telephone | 917-656-8866
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Fax | 908-475-4431
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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 | 004883
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License Number State | NY
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