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General NPI Number Information
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NPI Number | 1457428807
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Entity Type | Organization
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Legal Business Name | LOMONACO REHABILITATION SERVICES, INC.
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 44 RIVULET ST.
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City | UXBRIDGE
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State | MA
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Zip | 01569
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Country | US
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Telephone | 508-278-2002
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Fax | 508-278-3522
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Provider Business Mailing Address
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Address Line | PO BOX 245
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City | WHITINSVILLE
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State | MA
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Zip | 01588-0245
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Country | US
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Telephone | 508-278-2002
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Fax | 508-278-3522
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS LEE LOMONACO
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Credential | PT
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Telephone | 508-278-2002
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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 | 17140
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License Number State | MA
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