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General NPI Number Information
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NPI Number | 1306855309
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Entity Type | Individual
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Provider Name | CARL REMI MAILHOT PT
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 165 HARTFORD PIKE
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City | DAYVILLE
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State | CT
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Zip | 06241-0425
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Country | US
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Telephone | 860-779-0150
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Fax | 860-774-2371
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Provider Business Mailing Address
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Address Line | 2B LEE RD
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City | LISBON
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State | CT
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Zip | 06351-3042
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Country | US
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Telephone | 860-376-2564
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Fax | 860-373-4812
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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 | 002387
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License Number State | CT
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