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General NPI Number Information
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NPI Number | 1568324051
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Entity Type | Individual
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Provider Name | JAMES NOVAKOWSKI LMT
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Gender | Male
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 85 N MAIN ST STE 224
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City | WHITE RIVER JUNCTION
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State | VT
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Zip | 05001-7159
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Country | US
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Telephone | 774-277-8459
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Fax |
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Provider Business Mailing Address
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Address Line | 103 PROSPECT STREET EXT
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City | LEBANON
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State | NH
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Zip | 03766-1832
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Country | US
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Telephone | 774-277-8459
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 164.0000961
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License Number State | VT
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