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General NPI Number Information
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NPI Number | 1497675730
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Entity Type | Individual
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Provider Name | ANTHONY MAILLET
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Gender | Male
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 91 COUNTRY VILLAGE RD
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City | LANCASTER
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State | NH
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Zip | 03584-3142
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Country | US
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Telephone | 603-788-4735
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Fax |
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Provider Business Mailing Address
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Address Line | 88 S LUNENBURG RD
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City | LUNENBURG
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State | VT
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Zip | 05906-9340
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 1474
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License Number State | NH
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