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General NPI Number Information
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NPI Number | 1942845508
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Entity Type | Individual
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Provider Name | PHILIP FANK DE RICCO LMT
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Gender | Male
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Dates
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Enumeration Date | 11/07/2019
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 15-614 PUNI MAUKA LOOP S
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City | PAHOA
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State | HI
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Zip | 96778-9415
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Country | US
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Telephone | 808-315-3447
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Fax |
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Provider Business Mailing Address
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Address Line | 15-2660 PAHOA VILLAGE RD STE 203 #69
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City | PAHOA
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State | HI
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Zip | 96778
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Country | US
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Telephone | 808-315-3447
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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 | 15944
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 8295
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License Number State | CT
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