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General NPI Number Information
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NPI Number | 1174641096
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Entity Type | Individual
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Provider Name | TANYA MARIE PIERCE PT
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 239 PLEASANT ST
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City | CONCORD
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State | NH
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Zip | 03301-7504
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Country | US
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Telephone | 603-224-6561
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Fax |
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Provider Business Mailing Address
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Address Line | 450 BEDFORD RD
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City | NEW BOSTON
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State | NH
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Zip | 03070-5015
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Country | US
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Telephone | 603-487-3118
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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 | 2723
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License Number State | NH
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