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General NPI Number Information
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NPI Number | 1790730547
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC & SPORTS PHYSICAL THERAPY , INC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 16 ARNOLD ST
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City | WOONSOCKET
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State | RI
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Zip | 02895-2902
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Country | US
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Telephone | 401-765-2030
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Fax | 401-769-7472
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Provider Business Mailing Address
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Address Line | 16 ARNOLD ST
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City | WOONSOCKET
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State | RI
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Zip | 02895-2902
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Country | US
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Telephone | 401-765-2030
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Fax | 401-769-7472
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS GILBERT HARRINGTON
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Credential | MSPT
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Telephone | 401-765-2030
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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 | PT000451
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License Number State | RI
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