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Individual
THOMAS J DUBUQUE JR.
Active
Individual
THOMAS J DUBUQUE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01833
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411376
RI BLUE CHIP
RI
01
—
640014E
UNITED HEALTH NEW ENGLAND
—
01
—
75277
RI BLUE CROSS
RI
Enumeration date
08/12/2006
Last updated
02/14/2019
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