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General NPI Number Information
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NPI Number | 1063964021
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Entity Type | Individual
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Provider Name | KATHRYN MICHELLE PERRONE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 304 W MAIN ST STE 2-1118
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City | AVON
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State | CT
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Zip | 06001-4355
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Country | US
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Telephone | 608-698-1934
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Fax |
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Provider Business Mailing Address
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Address Line | 304 W MAIN ST STE 2-1118
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City | AVON
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State | CT
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Zip | 06001-4355
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Country | US
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Telephone | 608-698-1934
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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 | 010211
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License Number State | CT
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