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General NPI Number Information
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NPI Number | 1043396872
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Entity Type | Individual
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Provider Name | SCOTT BRAJE PT
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Gender | Male
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1 ORTHOPEDIC DR
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City | PEABODY
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State | MA
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Zip | 01960-1668
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Country | US
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Telephone | 978-818-6260
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Fax | 978-818-6255
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Provider Business Mailing Address
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Address Line | 1 ORTHOPEDIC DR
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City | PEABODY
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State | MA
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Zip | 01960-1668
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Country | US
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Telephone | 978-818-6260
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Fax | 978-818-6255
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 17780
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License Number State | MA
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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 | PT09462
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License Number State | OH
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