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General NPI Number Information
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NPI Number | 1598383838
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Entity Type | Organization
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Legal Business Name | MOBILIZATION PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 57 MOULTON RD
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City | HAMPTON
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State | NH
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Zip | 03842-2156
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Country | US
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Telephone | 617-571-8768
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Fax |
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Provider Business Mailing Address
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Address Line | 57 MOULTON RD
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City | HAMPTON
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State | NH
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Zip | 03842-2156
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Country | US
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Telephone | 617-571-8768
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNE JAMISON RUFFUS
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Credential | PT
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Telephone | 603-421-6522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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