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General NPI Number Information
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NPI Number | 1811397763
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Entity Type | Individual
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Provider Name | PATRICIA SCUNCIO PTA
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Gender | Female
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 08/28/2014
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Provider Practice Location Address
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Address Line | 252 DONAHUE ROAD
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City | PASCOAG
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State | RI
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Zip | 02859
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Country | US
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Telephone | 401-595-7613
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Fax |
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Provider Business Mailing Address
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Address Line | 4 LORING LN
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-3012
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Country | US
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Telephone | 401-595-7613
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA 00977
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License Number State | RI
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