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General NPI Number Information
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NPI Number | 1023470218
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Entity Type | Individual
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Provider Name | CONI L GILMAN PT
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Gender | Female
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Dates
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Enumeration Date | 03/25/2016
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 68 BRADFORD ST STE K
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City | NORTHAMPTON
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State | MA
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Zip | 01060-2369
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Country | US
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Telephone | 413-530-0698
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Fax | 888-411-8532
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Provider Business Mailing Address
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Address Line | 68 BRADFORD ST STE K
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City | NORTHAMPTON
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State | MA
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Zip | 01060-2369
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Country | US
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Telephone | 413-530-0698
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Fax | 888-411-8532
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 15977
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License Number State | MA
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