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General NPI Number Information
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NPI Number | 1235763905
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Entity Type | Individual
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Provider Name | IAN FERRIS PT, DPT, ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 03/02/2020
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 39 SIMON ST STE 6
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City | NASHUA
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State | NH
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Zip | 03060-3046
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Country | US
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Telephone | 603-417-3976
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Fax | 603-589-1211
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Provider Business Mailing Address
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Address Line | 155 HAMPSHIRE RD
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City | METHUEN
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State | MA
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Zip | 01844-1118
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Country | US
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Telephone | 978-771-6684
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 3749
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6115
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License Number State | NH
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