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General NPI Number Information
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NPI Number | 1255531919
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Entity Type | Individual
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Provider Name | MARGUERITE RECICAR M.P.T.
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Gender | Female
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 3 BLACK DUCK REACH
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-4132
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Country | US
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Telephone | 302-226-4796
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Fax |
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Provider Business Mailing Address
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Address Line | 3 BLACK DUCK REACH
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-4132
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Country | US
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Telephone | 302-226-4796
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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 | J1-0001337
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License Number State | DE
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