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General NPI Number Information
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NPI Number | 1396280442
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Entity Type | Individual
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Provider Name | PAIGE KATHERINE RYAN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 12/28/2016
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Last Update Date | 10/27/2024
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Provider Practice Location Address
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Address Line | 157 WELLMAN AVE
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City | NORTH CHELMSFORD
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State | MA
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Zip | 01863-1343
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Country | US
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Telephone | 860-575-8349
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Fax |
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Provider Business Mailing Address
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Address Line | 2014 BEES FERRY RD
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City | CHARLESTON
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State | SC
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Zip | 29414-6603
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Country | US
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Telephone | 843-556-1070
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Fax | 843-556-6742
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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 | 21862
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License Number State | MA
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