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General NPI Number Information
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NPI Number | 1265098834
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Entity Type | Individual
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Provider Name | CAROLE KAMEN BURGER MS PT
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Gender | Female
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Dates
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Enumeration Date | 05/19/2019
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Last Update Date | 05/19/2019
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Provider Practice Location Address
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Address Line | 60 EBEN BROWN LN
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City | CENTRAL FALLS
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State | RI
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Zip | 02863-1409
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Country | US
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Telephone | 401-722-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 23 HORSESHOE CIR
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City | SIMSBURY
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State | CT
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Zip | 06070-1722
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Country | US
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Telephone | 860-874-2071
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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 | PT03169
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License Number State | RI
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