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General NPI Number Information
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NPI Number | 1669361408
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Entity Type | Individual
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Provider Name | NICHOLAS RINI
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Gender | Male
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 122 W 26TH ST RM 701
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City | NEW YORK
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State | NY
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Zip | 10001-6804
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Country | US
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Telephone | 516-852-0985
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Fax |
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Provider Business Mailing Address
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Address Line | 559 W 140TH ST APT 42
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City | NEW YORK
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State | NY
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Zip | 10031-7073
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Country | US
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Telephone |
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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 | 033085-01
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License Number State | NY
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