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General NPI Number Information
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NPI Number | 1841186020
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Entity Type | Individual
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Provider Name | ANDREW AMMON DPT
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Gender | Male
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 199 BOSTON RD STE 8
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City | NORTH BILLERICA
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State | MA
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Zip | 01862-2328
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Country | US
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Telephone | 978-547-5038
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Fax | 978-547-5039
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Provider Business Mailing Address
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Address Line | 670 N COMMERCIAL ST APT LL15
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City | MANCHESTER
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State | NH
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Zip | 03101-1150
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Country | US
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Telephone | 845-260-0560
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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 | PTL88736
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License Number State | MA
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