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General NPI Number Information
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NPI Number | 1114119112
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Entity Type | Individual
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Provider Name | PATRICIA MARIE PAURIS M.S., A.T.C., CPT
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Gender | Female
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 01/18/2012
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Provider Practice Location Address
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Address Line | 529 PROVIDENCE HWY
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City | DEDHAM
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State | MA
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Zip | 02026-6807
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Country | US
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Telephone | 774-360-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 115 LINCOLN ST OUTPATIENT PHYSICAL THERAPY
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City | FRAMINGHAM
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State | MA
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Zip | 01702-6358
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Country | US
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Telephone | 508-383-1070
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Fax | 508-383-1075
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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