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General NPI Number Information
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NPI Number | 1972516052
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Entity Type | Individual
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Provider Name | KIMBERLY L. O'LEARY P.T.
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 2 PILLSBURY STREET
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City | CONCORD
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State | NH
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Zip | 03301
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Country | US
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Telephone | 603-524-3397
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Fax | 903-524-9364
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Provider Business Mailing Address
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Address Line | 8 CORPORATE DRIVE
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City | BELMONT
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State | NH
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Zip | 03220
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Country | US
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Telephone | 603-524-3397
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Fax | 603-524-9364
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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 | 1337
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License Number State | NH
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