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General NPI Number Information
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NPI Number | 1710498688
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Entity Type | Individual
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Provider Name | RONALD TANIGUCHI HHP, CMT
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Gender | Male
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 41080 CALIFORNIA OAKS RD # STUDIO17
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City | MURRIETA
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State | CA
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Zip | 92562-5749
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Country | US
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Telephone | 951-219-3924
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Fax |
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Provider Business Mailing Address
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Address Line | 40571 GEYSER ST
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City | MURRIETA
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State | CA
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Zip | 92562-5713
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Country | US
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Telephone | 951-219-3924
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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 | 15258
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License Number State | CA
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