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General NPI Number Information
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NPI Number | 1841155876
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Entity Type | Individual
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Provider Name | LAUREL E FOURNIER
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Gender | Female
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 130 NORTH ST STE D
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City | HYANNIS
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State | MA
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Zip | 02601-3825
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Country | US
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Telephone | 508-775-6685
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Fax | 508-771-5774
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Provider Business Mailing Address
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Address Line | 1175 OLD STAGE RD
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City | CENTERVILLE
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State | MA
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Zip | 02632-2052
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Country | US
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Telephone | 508-367-0288
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | PTL89015
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License Number State | MA
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