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General NPI Number Information
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NPI Number | 1023124062
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Entity Type | Individual
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Provider Name | ANNE STYERS VISER PT
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Gender | Female
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 05/26/2017
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Provider Practice Location Address
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Address Line | 175 CAMBRIDGE ST 4TH FLOOR
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City | BOSTON
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State | MA
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Zip | 02114-2743
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Country | US
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Telephone | 617-643-1230
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Fax |
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Provider Business Mailing Address
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Address Line | 2909 S BUCHANAN ST
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City | ARLINGTON
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State | VA
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Zip | 22206-1503
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Country | US
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Telephone | 617-270-4191
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 16789
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 2305206836
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License Number State | VA
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