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General NPI Number Information
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NPI Number | 1992876809
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Entity Type | Individual
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Provider Name | DAWN M MICHAUD P.T.
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 20 MILLTOWN ROAD SUITE 104A
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City | BREWSTER
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State | NY
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Zip | 10509-4345
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Country | US
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Telephone | 845-278-5205
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 293
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City | SALISBURY
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State | CT
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Zip | 06068-0293
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Country | US
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Telephone | 860-604-1717
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 27225
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License Number State | NY
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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 | 004004
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License Number State | CA
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