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General NPI Number Information
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NPI Number | 1932303575
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Entity Type | Individual
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Provider Name | FRANCES GROVES PROSSER-RIESSEN PHYSICAL THERAPIST P
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Gender | Female
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16 BEAVER MEADOW RD
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City | NORWICH
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State | VT
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Zip | 05055
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Country | US
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Telephone | 802-649-8839
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Fax | 603-643-8498
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Provider Business Mailing Address
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Address Line | 4 CONANT RD
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City | HANOVER
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State | NH
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Zip | 03755
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Country | US
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Telephone | 603-643-8360
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Fax | 603-643-8498
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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 | 0400002495
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License Number State | VT
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