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General NPI Number Information
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NPI Number | 1053274100
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Entity Type | Individual
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Provider Name | GRACE ERIN MAGUIRE
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Gender | Female
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 22 COREY ST STE 303
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City | MELROSE
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State | MA
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Zip | 02176-4667
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Country | US
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Telephone | 617-398-0007
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Fax |
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Provider Business Mailing Address
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Address Line | 211 QUISSET LN
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City | WAYNE
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State | PA
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Zip | 19087-2184
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Country | US
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Telephone | 617-398-0007
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PTL89153
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License Number State | MA
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