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General NPI Number Information
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NPI Number | 1669103487
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Entity Type | Organization
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Legal Business Name | EMPOWER PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 06/22/2022
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 12 S MAIN ST
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City | MONT VERNON
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State | NH
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Zip | 03057-1620
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Country | US
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Telephone | 603-732-6399
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Fax |
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Provider Business Mailing Address
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Address Line | 12 S MAIN ST
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City | MONT VERNON
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State | NH
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Zip | 03057-1620
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Country | US
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Telephone | 802-490-3797
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | ASHLEY TIGHE
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Credential |
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Telephone | 802-490-3797
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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 |
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License Number State |
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