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General NPI Number Information
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NPI Number | 1124219423
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Entity Type | Individual
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Provider Name | CORYLEEN B GILBERT PT, MS, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 09/08/2007
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Provider Practice Location Address
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Address Line | 175 BLUEBERRY LN
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City | LACONIA
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State | NH
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Zip | 03246-2918
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Country | US
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Telephone | 603-528-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 175 BLUEBERRY LN
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City | LACONIA
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State | NH
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Zip | 03246-2918
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Country | US
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Telephone | 603-528-7000
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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 | 6556
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License Number State | AZ
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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 | 578
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4050
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 929
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License Number State | AK
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