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General NPI Number Information
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NPI Number | 1841537156
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Entity Type | Individual
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Provider Name | KIMBERLY NOBREGA DPT
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Gender | Female
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Dates
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Enumeration Date | 01/07/2013
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Last Update Date | 05/19/2014
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Provider Practice Location Address
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Address Line | 300 ELMWOOD ST
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City | NORTH ATTLEBORO
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State | MA
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Zip | 02760-1304
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Country | US
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Telephone | 508-695-2280
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Fax | 508-695-2298
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Provider Business Mailing Address
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Address Line | 535 S MAIN ST
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City | RANDOLPH
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State | MA
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Zip | 02368-5261
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Country | US
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Telephone | 781-961-3370
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Fax | 781-767-7531
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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 | PT02548
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License Number State | RI
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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 | 20342
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License Number State | MA
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