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General NPI Number Information
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NPI Number | 1518236686
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Entity Type | Individual
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Provider Name | JULIA MALLOY PT
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Gender | Female
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 12/20/2011
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Provider Practice Location Address
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Address Line | 76 POST RD
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City | NORTH HAMPTON
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State | NH
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Zip | 03862-2021
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Country | US
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Telephone | 603-964-9005
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Fax |
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Provider Business Mailing Address
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Address Line | 76 POST RD
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City | NORTH HAMPTON
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State | NH
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Zip | 03862-2021
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Country | US
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Telephone | 603-964-9005
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8052
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1971
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1396
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License Number State | NH
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