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General NPI Number Information
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NPI Number | 1093265548
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Entity Type | Organization
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Legal Business Name | PROCESS PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 10/08/2016
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Last Update Date | 10/08/2016
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Provider Practice Location Address
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Address Line | 3 PROGRESS AVE
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City | NASHUA
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State | NH
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Zip | 03062-1908
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Country | US
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Telephone | 978-944-1124
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Fax |
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Provider Business Mailing Address
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Address Line | 81 EMERY RD
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City | TOWNSEND
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State | MA
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Zip | 01469-1274
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Country | US
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Telephone | 978-597-2320
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | GARY DONIA
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Credential |
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Telephone | 978-944-1124
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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 | 4045
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License Number State | NH
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