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General NPI Number Information
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NPI Number | 1679857247
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Entity Type | Organization
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Legal Business Name | MASSAGE THERAPY BY RINA RICHARD INC.
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Dates
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Enumeration Date | 09/30/2011
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 2881 EAST OAKLAND PARK BLVD. STE # 113
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306
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Country | US
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Telephone | 954-524-9772
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Fax |
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Provider Business Mailing Address
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Address Line | 2881 EAST OAKLAND PARK BLVD. STE # 113
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306
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Country | US
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Telephone | 954-524-9772
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. RINA RICHARD
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Credential |
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Telephone | 984-524-9772
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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 | MM20606
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License Number State | FL
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