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General NPI Number Information
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NPI Number | 1093630923
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Entity Type | Individual
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Provider Name | MICHAEL DEMKO
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Gender |
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 73 CANAL ST
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City | MILLBURY
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State | MA
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Zip | 01527-3253
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Country | US
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Telephone | 508-581-8703
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Fax |
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Provider Business Mailing Address
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Address Line | 21 CONSTITUTION WAY
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City | UXBRIDGE
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State | MA
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Zip | 01569-0319
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Country | US
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Telephone | 508-505-5113
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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 | PTL89654
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License Number State | MA
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