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General NPI Number Information
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NPI Number | 1063544344
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Entity Type | Individual
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Provider Name | DIANE M SHEEHAN PT
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 60 NORTH MAIN ST STE 7
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City | NATICK
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State | MA
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Zip | 01760
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Country | US
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Telephone | 508-653-0773
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Fax | 508-653-3879
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Provider Business Mailing Address
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Address Line | 60 NORTH MAIN ST STE 7
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City | NATICK
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State | MA
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Zip | 01760
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Country | US
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Telephone | 508-653-0773
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Fax | 508-653-3879
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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 | 1795
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License Number State | MA
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