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General NPI Number Information
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NPI Number | 1437930120
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Entity Type | Organization
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Legal Business Name | ANCHOR PHYSICAL THERAPY & PERFORMANCE PLLC
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 114 CORPORATE DR
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City | PORTSMOUTH
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State | NH
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Zip | 03801-6815
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Country | US
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Telephone | 603-267-4272
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Fax | 603-766-0060
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Provider Business Mailing Address
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Address Line | 53 MCNABB CT
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City | PORTSMOUTH
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State | NH
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Zip | 03801-4431
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Country | US
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Telephone | 603-440-5780
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN MARIE LEPAGE
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Credential | PT
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Telephone | 603-440-5780
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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 |
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License Number State |
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