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General NPI Number Information
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NPI Number | 1669249694
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Entity Type | Individual
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Provider Name | HANNAH J MUNN DPT
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Gender | Female
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 1 MARKET PL UNIT 27
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City | ESSEX JUNCTION
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State | VT
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Zip | 05452-2942
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Country | US
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Telephone | 802-658-6092
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Fax |
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Provider Business Mailing Address
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Address Line | 67 LAMBERT LN
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City | WILLISTON
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State | VT
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Zip | 05495-9434
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Country | US
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Telephone | 802-557-1124
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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 | 040.0134660
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License Number State | VT
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