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General NPI Number Information
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NPI Number | 1285040766
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Entity Type | Individual
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Provider Name | CAMERON JAY PULS PT
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Gender | Male
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 48 SANDERSON ST REHAB DEPARTMENT
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City | GREENFIELD
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State | MA
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Zip | 01301-2778
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Country | US
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Telephone | 413-773-2411
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Fax | 413-773-2510
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Provider Business Mailing Address
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Address Line | 840 HAMMOND ST STE 2
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City | BANGOR
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State | ME
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Zip | 04401-4339
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Country | US
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Telephone | 413-773-2411
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Fax | 413-773-2510
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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 | PT5110
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License Number State | ME
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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 | 20110
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License Number State | MA
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