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General NPI Number Information
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NPI Number | 1063054922
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Entity Type | Individual
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Provider Name | GINA LANGDON PT
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Gender | Female
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Dates
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Enumeration Date | 10/11/2019
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Last Update Date | 10/11/2019
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Provider Practice Location Address
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Address Line | 25 NEW HAMPSHIRE AVE STE 270
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City | PORTSMOUTH
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State | NH
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Zip | 03801-2923
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Country | US
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Telephone | 603-436-0815
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Fax |
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Provider Business Mailing Address
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Address Line | 25 LOCKE HILL LN
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City | BARRINGTON
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State | NH
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Zip | 03825-5400
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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