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General NPI Number Information
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NPI Number | 1669872255
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Entity Type | Individual
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Provider Name | JOAN ORKNEY R.P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 21 WATERVILLE RD
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City | AVON
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State | CT
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Zip | 06001-2097
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Country | US
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Telephone | 860-559-4506
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Fax |
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Provider Business Mailing Address
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Address Line | 289 LESTERTOWN RD
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City | GROTON
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State | CT
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Zip | 06340-2801
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Country | US
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Telephone | 860-705-9704
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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 | 002969
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License Number State | CT
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