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General NPI Number Information
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NPI Number | 1427683960
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Entity Type | Individual
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Provider Name | KAYLEE MICHELLE POBOCIK PT, ATC
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Gender | Female
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 10 COMMERCE PARK NORTH
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City | BEDFORD
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State | NH
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Zip | 03110-6905
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Country | US
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Telephone | 603-267-0432
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Fax |
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Provider Business Mailing Address
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Address Line | 24 HIGH ST
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City | MEREDITH
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State | NH
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Zip | 03253-5910
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Country | US
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Telephone |
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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 | 5501019510
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License Number State | MI
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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 | 4619
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License Number State | NH
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