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General NPI Number Information
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NPI Number | 1922287796
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Entity Type | Individual
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Provider Name | THOMAS LOMONACO PT
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Gender | Male
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 44 RIVULET STREET
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City | UXBRIDGE
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State | MA
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Zip | 01569
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Country | US
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Telephone | 508-278-2002
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Fax | 508-278-3522
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Provider Business Mailing Address
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Address Line | PO BOX 245
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City | WHITINSVILLE
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State | MA
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Zip | 01588-0245
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Country | US
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Telephone | 508-278-2002
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Fax | 508-278-3522
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 17140
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License Number State | MA
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