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General NPI Number Information
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NPI Number | 1609558675
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Entity Type | Organization
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Legal Business Name | ABS TO HANDS SPORTS MEDICINE AND REHABILITATION LLC
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 40 SOUTH RIVER ROAD #63
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City | BEDFORD
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State | NH
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Zip | 03110
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Country | US
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Telephone | 603-809-1761
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Fax |
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Provider Business Mailing Address
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Address Line | 3 BRENTWOOD AVENUE
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City | NASHUA
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State | NH
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Zip | 03063
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Country | US
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Telephone | 603-809-1761
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | LARISSA G PICKETT
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Credential | OTR/L, CHT
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Telephone | 603-809-1761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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