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General NPI Number Information
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NPI Number | 1609066323
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Entity Type | Individual
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Provider Name | SHEILA ARLENE DAWSON-ELWARD L/PTA
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Gender | Female
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 07/30/2007
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Provider Practice Location Address
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Address Line | 16 CITY HALL SQ
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City | LYNN
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State | MA
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Zip | 01901-1003
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Country | US
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Telephone | 791-598-2454
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Fax |
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Provider Business Mailing Address
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Address Line | 401 COLONIAL DR UNIT# 8
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City | IPSWICH
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State | MA
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Zip | 01938-1602
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Country | US
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Telephone | 978-356-5572
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 3482
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License Number State | MA
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