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General NPI Number Information
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NPI Number | 1689199465
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Entity Type | Individual
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Provider Name | SAMUEL C FROMMELT PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 09/24/2019
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Provider Practice Location Address
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Address Line | 300 CONGRESS ST STE 316
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City | QUINCY
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State | MA
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Zip | 02169-0907
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Country | US
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Telephone | 978-935-4055
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Fax | 978-455-2165
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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 | 978-388-7373
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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 | 23210
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License Number State | MA
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