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General NPI Number Information
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NPI Number | 1669991246
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Entity Type | Individual
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Provider Name | MICHELLE IOVENE DPT
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Gender | Female
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Dates
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Enumeration Date | 09/14/2017
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 250 E MAIN ST
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City | NORTON
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State | MA
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Zip | 02766-2436
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Country | US
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Telephone | 508-285-5533
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Fax | 508-285-7977
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Provider Business Mailing Address
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Address Line | 210 COMMERCE WAY STE 120
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City | PORTSMOUTH
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State | NH
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Zip | 03801-8200
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Country | US
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Telephone | 603-427-8066
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Fax | 603-501-0495
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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 | 23247
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License Number State | MA
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