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General NPI Number Information
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NPI Number | 1285647560
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Entity Type | Individual
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Provider Name | PAMELA D MARKERT PT
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Gender | Female
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 195 W MAIN ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1318
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Country | US
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Telephone | 860-225-0674
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Fax | 860-223-0033
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Provider Business Mailing Address
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Address Line | 99 WILSON POND RD
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City | HARWINTON
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State | CT
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Zip | 06791-2814
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Country | US
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Telephone | 860-485-0830
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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 | 003469
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License Number State | CT
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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 | 019380-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | AH 5584-PT
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License Number State | MA
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