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General NPI Number Information
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NPI Number | 1992394951
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Entity Type | Individual
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Provider Name | VICTORIA MARGARET PEIXOTO PTA
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Gender | Female
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Dates
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Enumeration Date | 01/14/2021
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Last Update Date | 01/14/2021
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Provider Practice Location Address
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Address Line | 178 NORWOOD AVE
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City | CRANSTON
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State | RI
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Zip | 02905-3923
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Country | US
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Telephone | 401-302-1264
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Fax |
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Provider Business Mailing Address
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Address Line | 22 DEWEY AVE
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02911-1803
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Country | US
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Telephone | 401-617-6238
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Fax |
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PTA01221
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License Number State | RI
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