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General NPI Number Information
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NPI Number | 1144940099
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Entity Type | Individual
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Provider Name | JOSEPH N GILCHREST DPT
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Gender | Male
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 415 NEPONSET AVE STE 2B
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City | DORCHESTER
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State | MA
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Zip | 02122-3169
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Country | US
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Telephone | 617-287-2225
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Fax | 617-287-2224
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Provider Business Mailing Address
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Address Line | 254 CHAPMAN RD STE 208
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City | NEWARK
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State | DE
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Zip | 19702-5422
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Country | US
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Telephone | 774-249-3907
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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 | PTL26291
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License Number State | MA
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