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General NPI Number Information
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NPI Number | 1598883142
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Entity Type | Individual
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Provider Name | PATRICIA ANN LARKIN-UPTON PT
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 480 DONALD ST
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City | BEDFORD
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State | NH
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Zip | 03110-5945
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Country | US
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Telephone | 604-627-4147
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Fax | 603-624-5214
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Provider Business Mailing Address
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Address Line | 54 SHERWOOD DR
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City | HOOKSETT
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State | NH
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Zip | 03106-1078
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Country | US
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Telephone | 604-644-2450
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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 | 1164
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License Number State | NH
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