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General NPI Number Information
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NPI Number | 1427605526
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Entity Type | Individual
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Provider Name | MAGGIE DUFAULT DPT
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Gender | Female
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 600 COLE FARM RD UNIT B32
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City | WARWICK
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State | RI
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Zip | 02889-1368
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Country | US
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Telephone | 401-523-9631
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Fax |
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Provider Business Mailing Address
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Address Line | 600 COLE FARM RD UNIT B32
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City | WARWICK
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State | RI
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Zip | 02889-1368
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Country | US
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Telephone | 401-523-9631
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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 | 5184
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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 | 27723
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 24957
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10656R
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305213001
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License Number State | VA
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