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General NPI Number Information
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NPI Number | 1568717049
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Entity Type | Individual
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Provider Name | JAMESON PARKER SYLVIA DPT
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Gender | Male
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 07/19/2012
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Provider Practice Location Address
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Address Line | 311 SERVICE RD
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City | EAST SANDWICH
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State | MA
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Zip | 02537-1370
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Country | US
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Telephone | 508-888-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 2 WHITMAN DR
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City | SANDWICH
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State | MA
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Zip | 02563-2459
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Country | US
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Telephone |
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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 | 19642
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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 | 1217793
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License Number State | TX
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