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General NPI Number Information
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NPI Number | 1609014273
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Entity Type | Individual
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Provider Name | JILL MACALUSO DPT
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Gender | Female
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Dates
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Enumeration Date | 02/04/2009
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Last Update Date | 09/12/2013
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Provider Practice Location Address
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Address Line | 535 CENTERVILLE RD SUITE 101
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City | WARWICK
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State | RI
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Zip | 02886-4486
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Country | US
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Telephone | 401-737-4581
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Fax | 401-737-6152
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Provider Business Mailing Address
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Address Line | 309 HIGHLAND AVE APT #1
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City | PROVIDENCE
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State | RI
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Zip | 02906-2933
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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 | PT02188
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License Number State | RI
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