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General NPI Number Information
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NPI Number | 1114182664
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Entity Type | Individual
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Provider Name | REBECCA B NASH DPT
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Gender | Female
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 512 WOODSTOCK RD
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City | WOODSTOCK
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State | VT
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Zip | 05091
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Country | US
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Telephone | 323-574-7000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 323
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City | WOODSTOCK
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State | VT
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Zip | 05091-0323
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Country | US
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Telephone | 323-574-7000
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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 | 040.0064625
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License Number State | VT
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