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General NPI Number Information
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NPI Number | 1568437895
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Entity Type | Organization
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Legal Business Name | FUNCTION FIRST PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 540 MAIN ST SUITE 12
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City | HYANNIS
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State | MA
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Zip | 02601-5100
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Country | US
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Telephone | 508-778-4317
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Fax | 508-778-4376
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Provider Business Mailing Address
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Address Line | PO BOX 346
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City | WEST BARNSTABLE
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State | MA
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Zip | 02668-0346
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Country | US
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Telephone | 508-778-4317
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Fax | 508-778-4376
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. JAMES HAWLEY JR.
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Credential | PT
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Telephone | 508-778-4317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 11657
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License Number State | MA
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