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General NPI Number Information
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NPI Number | 1154530996
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Entity Type | Individual
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Provider Name | CLAIRE DALTON RPT
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 245 LONG HILL RD
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4063
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Country | US
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Telephone | 866-552-9292
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Fax |
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Provider Business Mailing Address
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Address Line | 78 EAST AVE
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City | WESTERLY
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State | RI
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Zip | 02891-3004
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Country | US
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Telephone |
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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 | 001945
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License Number State | CT
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