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General NPI Number Information
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NPI Number | 1992864318
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Entity Type | Individual
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Provider Name | RICHARD CORBIN PINCHES LMT
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Gender | Male
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1902 14TH AVE
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City | VERO BEACH
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State | FL
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Zip | 32960-3507
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Country | US
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Telephone | 772-564-6170
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Fax | 772-564-6172
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Provider Business Mailing Address
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Address Line | 1640 4TH PL
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City | VERO BEACH
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State | FL
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Zip | 32962-2180
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Country | US
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Telephone | 772-766-0960
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Fax | 772-564-6172
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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 | MA 47001
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License Number State | FL
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