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General NPI Number Information
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NPI Number | 1437299039
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Entity Type | Individual
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Provider Name | KIMBERLY ANN FITZPATRICK M.S., R.P.T.
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 420 N MAIN ST
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City | LEEDS
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State | MA
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Zip | 01053-9714
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Country | US
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Telephone | 413-584-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 98 SAN MIGUEL ST
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City | SPRINGFIELD
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State | MA
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Zip | 01104-2938
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Country | US
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Telephone | 413-739-8599
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Fax | 413-739-8264
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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 | 11345
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License Number State | MA
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