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NPI 1083773436

NPI 1083773436 : DEE PHYSICAL THERAPY SERVICES PLC : SOUTH BURLINGTON, VT

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General NPI Number Information
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    NPI Number           |    1083773436
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    Entity Type          |    Organization 
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    Legal Business Name  |    DEE PHYSICAL THERAPY SERVICES PLC 
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Dates
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    Enumeration Date     |    12/08/2006
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    Last Update Date     |    11/27/2019
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Provider Practice Location Address
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    Address Line         |    23 SAN REMO DRIVE 
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    City                 |    SOUTH BURLINGTON
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    State                |    VT
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    Zip                  |    05403
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    Country              |    US
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    Telephone            |    802-865-0010
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    Fax                  |    802-865-0050
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Provider Business Mailing Address
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    Address Line         |    23 SAN REMO DRIVE 
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    City                 |    SOUTH BURLINGTON
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    State                |    VT
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    Zip                  |    05403
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    Country              |    US
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    Telephone            |    802-865-0010
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    Fax                  |    802-865-0050
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. MICHAEL C. DEE 
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    Credential           |    PT
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    Telephone            |    802-865-0010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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