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General NPI Number Information
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NPI Number | 1689187064
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Entity Type | Individual
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Provider Name | LORI MERLO PT, DPT, ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 6 BUTTRICK RD STE 100
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City | LONDONDERRY
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State | NH
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Zip | 03053-3417
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Country | US
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Telephone | 603-537-1700
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Fax | 603-537-1777
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Provider Business Mailing Address
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Address Line | 73 NEWTON RD UNIT 101
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City | PLAISTOW
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State | NH
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Zip | 03865-2440
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Country | US
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Telephone | 978-388-7272
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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 | 24980
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 3058
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4730
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License Number State | NH
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