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General NPI Number Information
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NPI Number | 1275728552
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Entity Type | Individual
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Provider Name | MICHELE DELVECCHIO BICKFORD PHYSICAL THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 09/11/2007
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Provider Practice Location Address
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Address Line | 541 MAIN ST STE 103 STETSON PLACE
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City | SOUTH WEYMOUTH
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State | MA
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Zip | 02190-1857
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Country | US
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Telephone | 781-331-9600
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Fax | 781-335-1556
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Provider Business Mailing Address
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Address Line | 541 MAIN ST STE 103 STETSON PLACE
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City | SOUTH WEYMOUTH
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State | MA
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Zip | 02190-1857
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Country | US
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Telephone | 781-331-9600
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Fax | 781-335-1556
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 8249
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License Number State | MA
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