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General NPI Number Information
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NPI Number | 1518032283
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Entity Type | Individual
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Provider Name | DENNIS R PRONOWICZ P.T.
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 138 COLLEGE ST SUITE 3
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-1415
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Country | US
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Telephone | 413-532-9913
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Fax | 413-532-9054
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Provider Business Mailing Address
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Address Line | PO BOX 261
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-0261
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Country | US
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Telephone | 413-532-9913
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Fax | 413-532-9054
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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 | 1886
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License Number State | MA
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