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General NPI Number Information
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NPI Number | 1245419357
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Entity Type | Individual
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Provider Name | LINCY J JOSEPH PT
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Gender | Female
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 91 SIDNEY ST APT 608
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City | CAMBRIDGE
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State | MA
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Zip | 02139-4277
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Country | US
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Telephone | 617-252-6523
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Fax |
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Provider Business Mailing Address
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Address Line | 91 SIDNEY ST APT 608
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City | CAMBRIDGE
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State | MA
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Zip | 02139-4277
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Country | US
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Telephone | 617-252-6523
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 17945
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2251H1300X
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Taxonomy Name | Human Factors Physical Therapist
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License Number |
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License Number State | IL
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