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General NPI Number Information
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NPI Number | 1831493527
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Entity Type | Individual
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Provider Name | ALANA LYNNE RUNGE DPT
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Gender | Female
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 15 PARKMAN ST WACC 134
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City | BOSTON
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State | MA
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Zip | 02114-3117
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Country | US
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Telephone | 617-724-0125
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Fax |
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Provider Business Mailing Address
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Address Line | 9 PLEASANT VIEW ST
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City | METHUEN
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State | MA
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Zip | 01844-3905
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Country | US
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Telephone | 978-697-7410
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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 | 19353
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License Number State | MA
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