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General NPI Number Information
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NPI Number | 1437220076
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Entity Type | Organization
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Legal Business Name | PROCARE PHYSICAL THERAPY AND HAND CENTER
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 150 US HIGHWAY 1 BYP SUITE 1
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City | PORTSMOUTH
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State | NH
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Zip | 03801-5332
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Country | US
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Telephone | 603-431-1121
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Fax |
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Provider Business Mailing Address
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Address Line | 150 US HIGHWAY 1 BYP SUITE 1
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City | PORTSMOUTH
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State | NH
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Zip | 03801-5332
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Country | US
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Telephone | 603-431-1121
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MAYO NOERDLINGER
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Credential | M.D.
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Telephone | 603-431-1121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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