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General NPI Number Information
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NPI Number | 1184530123
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Entity Type | Individual
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Provider Name | KATHERINE HANCOCK PT, DPT, CBIS
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Gender | Female
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 259 ALBANY TPKE STE 5
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City | CANTON
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State | CT
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Zip | 06019-2557
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Country | US
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Telephone | 203-788-0009
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Fax |
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Provider Business Mailing Address
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Address Line | 76 RATLUM RD
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City | BARKHAMSTED
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State | CT
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Zip | 06063-1814
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Country | US
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Telephone | 203-788-0009
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State | CT
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