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General NPI Number Information
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NPI Number | 1669262457
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Entity Type | Individual
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Provider Name | AUDREIGH ANNA BREDE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 460 AMHERST ST
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City | NASHUA
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State | NH
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Zip | 03063-1220
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Country | US
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Telephone | 603-577-8400
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Fax | 603-577-8405
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Provider Business Mailing Address
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Address Line | 504 NASHUA ST APT 208
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City | MILFORD
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State | NH
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Zip | 03055-4983
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Country | US
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Telephone | 603-499-2011
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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 | 6005
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License Number State | NH
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