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General NPI Number Information
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NPI Number | 1821114679
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Entity Type | Individual
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Provider Name | REBECCA LYNN SLOCUM PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 05/18/2008
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Provider Practice Location Address
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Address Line | 177 WHITEWOOD RD
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City | WATERBURY
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State | CT
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Zip | 06708-1545
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Country | US
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Telephone | 716-864-5753
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Fax |
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Provider Business Mailing Address
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Address Line | 2 MOUNTAINVIEW TER APPT. #1331
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City | DANBURY
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State | CT
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Zip | 06810-4163
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Country | US
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Telephone | 716-864-5753
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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 | 029094
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License Number State | NY
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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 | 22179
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT018696
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License Number State | PA
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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 | 008114
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 23783
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License Number State | FL
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