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General NPI Number Information
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NPI Number | 1407400641
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Entity Type | Individual
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Provider Name | TOM BIGGART PT, DPT, ATC, CSCS,
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Gender | Male
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 07/25/2019
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Provider Practice Location Address
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Address Line | 110 NEWBURY ST
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City | DANVERS
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State | MA
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Zip | 01923
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Country | US
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Telephone | 978-979-5828
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Fax |
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Provider Business Mailing Address
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Address Line | 110 NEWBURY ST
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City | DANVERS
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State | MA
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Zip | 01923
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Country | US
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Telephone | 978-979-5828
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 20770
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License Number State | MA
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