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General NPI Number Information
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NPI Number | 1144564907
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Entity Type | Individual
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Provider Name | FRANCE BOUCHARD-GILL BSCPT
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Gender | Female
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 1940 LEVANTE ST
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City | CARLSBAD
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State | CA
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Zip | 92009-5174
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Country | US
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Telephone | 760-704-1032
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Fax | 760-635-0740
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Provider Business Mailing Address
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Address Line | 1940 LEVANTE ST
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City | CARLSBAD
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State | CA
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Zip | 92009-5174
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Country | US
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Telephone | 760-704-1032
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Fax | 760-635-0740
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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 | 36677
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 36677
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License Number State | CA
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