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General NPI Number Information
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NPI Number | 1053477174
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Entity Type | Individual
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Provider Name | STEPHEN JOSEPH DENOY LPT
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Gender | Male
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Dates
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Enumeration Date | 01/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 150 PARKINGWAY ST
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City | QUINCY
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State | MA
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Zip | 02169-5058
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Country | US
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Telephone | 617-328-1242
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Fax | 617-328-3386
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Provider Business Mailing Address
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Address Line | 2 SHEPARD RD
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City | BRAINTREE
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State | MA
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Zip | 02184-7412
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Country | US
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Telephone | 617-328-1242
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 9702
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License Number State | MA
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