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General NPI Number Information
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NPI Number | 1205735032
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Entity Type | Individual
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Provider Name | EVAN MICHAEL HOAG PT,DPT
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Gender | Male
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 1600 OSGOOD ST STE 2085
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-1058
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Country | US
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Telephone | 978-688-6181
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Fax |
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Provider Business Mailing Address
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Address Line | 29 LINWOOD ST
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City | CHELMSFORD
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State | MA
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Zip | 01824-2210
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Country | US
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Telephone | 978-551-0502
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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 | PTL90116
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License Number State | MA
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