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NPI 1336310176

NPI 1336310176 : KAREN ESEPPI PT : WEATOGUE, CT

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General NPI Number Information
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    NPI Number           |    1336310176
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN ESEPPI PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/20/2008
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    Last Update Date     |    03/20/2008
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Provider Practice Location Address
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    Address Line         |    110 HOPMEADOW ST SUITE 300
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    City                 |    WEATOGUE
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    State                |    CT
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    Zip                  |    06089-9407
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    Country              |    US
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    Telephone            |    860-651-3381
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    Fax                  |    860-651-0037
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Provider Business Mailing Address
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    Address Line         |    110 HOPMEADOW ST SUITE 300
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    City                 |    WEATOGUE
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    State                |    CT
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    Zip                  |    06089-9407
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    Country              |    US
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    Telephone            |    860-651-3381
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    Fax                  |    860-651-0037
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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       |    002356
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    License Number State |    CT
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