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General NPI Number Information
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NPI Number | 1245387018
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Entity Type | Individual
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Provider Name | JOANNA M GERETY PT
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 101 CAMBRIDGE STREET C/O ORTHOPAEDICS PLUS
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City | BURLINGTON
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State | MA
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Zip | 01803-3766
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Country | US
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Telephone | 781-229-8011
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Fax | 781-229-8374
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Provider Business Mailing Address
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Address Line | 15 RYE STREET STE 125 ABILITIES REHABILITATION CENTER, LLC
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City | PORTSMOUTH
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State | NH
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Zip | 03801
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Country | US
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Telephone | 603-610-2200
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Fax | 603-610-2202
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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 | 2912
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License Number State | NH
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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 | 19470
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License Number State | MA
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