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General NPI Number Information
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NPI Number | 1083437891
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Entity Type | Individual
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Provider Name | AMY BLANDINI LCMT, PTA
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Gender | Female
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 1247 WASHINGTON RD STE 25
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City | RYE
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State | NH
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Zip | 03870-2345
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Country | US
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Telephone | 978-494-4339
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Fax |
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Provider Business Mailing Address
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Address Line | 34 ROSS RD
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City | DURHAM
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State | NH
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Zip | 03824-4219
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Country | US
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Telephone | 978-764-4648
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 8116
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License Number State | NH
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