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General NPI Number Information
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NPI Number | 1740429265
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Entity Type | Individual
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Provider Name | REBECCA MACDOUGALL
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Gender | Female
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 9 HAMPTON RD
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City | EXETER
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State | NH
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Zip | 03833-4807
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Country | US
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Telephone | 603-518-4212
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Fax |
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Provider Business Mailing Address
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Address Line | 25 WINTERBERRY LN
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City | NORTH HAMPTON
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State | NH
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Zip | 03862-2054
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Country | US
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Telephone | 603-379-2605
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 3272
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3272
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License Number State | NH
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