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General NPI Number Information
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NPI Number | 1841470796
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Entity Type | Organization
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Legal Business Name | CROSSPOINT PHYSICAL THERAPY L.L.C.
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 95 BREWERY LN
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City | PORTSMOUTH
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State | NH
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Zip | 03801-4994
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Country | US
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Telephone | 603-430-3004
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Fax | 603-430-0045
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Provider Business Mailing Address
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Address Line | 95 BREWERY LN
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City | PORTSMOUTH
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State | NH
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Zip | 03801-4994
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Country | US
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Telephone | 603-430-3004
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Fax | 603-430-0045
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MR. GARY L. MERCER
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Credential | P.T.
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Telephone | 603-430-3004
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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 | 1699
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License Number State | NH
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