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General NPI Number Information
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NPI Number | 1386363687
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Entity Type | Individual
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Provider Name | KELLY ANN O'ROURKE
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Gender | Female
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 235 HANOVER ST
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City | FALL RIVER
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State | MA
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Zip | 02720-5246
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Country | US
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Telephone | 508-973-9450
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Fax |
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Provider Business Mailing Address
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Address Line | 22 WESTBROOK LN
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City | ATTLEBORO
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State | MA
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Zip | 02703-3350
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Country | US
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Telephone | 781-801-3909
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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 | 26428
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License Number State | MA
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