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General NPI Number Information
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NPI Number | 1366454605
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Entity Type | Individual
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Provider Name | DANIEL J FLEURY
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Gender | Male
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 161 CORPORATE DR STE B
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City | PORTSMOUTH
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State | NH
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Zip | 03801-6825
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Country | US
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Telephone | 603-501-0581
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Fax | 603-501-0793
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Provider Business Mailing Address
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Address Line | 73 NEWTON RD STE 101
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City | PLAISTOW
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State | NH
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Zip | 03865-2424
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Country | US
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Telephone | 978-388-7272
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Fax | 978-388-7373
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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 | 3435
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License Number State | NH
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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 | 3665
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License Number State | ME
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