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General NPI Number Information
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NPI Number | 1114017514
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Entity Type | Individual
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Provider Name | CHERYL E EHRENKRANZ PT
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Gender | Female
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Dates
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Enumeration Date | 10/14/2006
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 521 MOUNT AUBURN ST SUITE 205
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City | WATERTOWN
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State | MA
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Zip | 02472-4191
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Country | US
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Telephone | 617-923-0757
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Fax | 617-923-2127
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Provider Business Mailing Address
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Address Line | 521 MOUNT AUBURN ST STE 205
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City | WATERTOWN
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State | MA
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Zip | 02472-4153
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Country | US
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Telephone | 617-923-0757
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Fax | 617-923-2127
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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 | 1812
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License Number State | MA
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