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General NPI Number Information
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NPI Number | 1649693425
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Entity Type | Organization
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Legal Business Name | G&S PHYSICAL THERAPY AND SPORTS REHABILITATION LLC
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 01/29/2014
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Provider Practice Location Address
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Address Line | 25 RIVERSIDE FARM DR
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City | LEE
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State | NH
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Zip | 03861-6216
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Country | US
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Telephone | 603-659-6747
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Fax |
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Provider Business Mailing Address
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Address Line | 25 RIVERSIDE FARM DR
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City | LEE
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State | NH
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Zip | 03861-6216
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Country | US
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Telephone | 603-659-6747
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | JENNIFER SYLVIA
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Credential |
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Telephone | 603-969-6945
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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 | 1086
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License Number State | NH
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