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General NPI Number Information
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NPI Number | 1538463740
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Entity Type | Organization
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Legal Business Name | HUNGER MOUNTIAN PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 01/03/2011
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Last Update Date | 01/03/2011
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Provider Practice Location Address
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Address Line | 157 TOWNE AVE.
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City | PLAINFIELD
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State | VT
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Zip | 05667
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Country | US
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Telephone | 802-999-8670
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 484
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City | PLAINFIELD
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State | VT
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Zip | 05667-0484
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Country | US
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Telephone | 802-999-8670
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | BRETT CHRISTOFFERS
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Credential |
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Telephone | 802-999-8670
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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 | 040-0003741
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License Number State | VT
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