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General NPI Number Information
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NPI Number | 1154582195
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Entity Type | Organization
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Legal Business Name | BRIGHTON PHYSICAL THERAPY CENTER, INC.
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 1505 COMMONWEALTH AVE SUITE 201
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City | BRIGHTON
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State | MA
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Zip | 02135-3605
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Country | US
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Telephone | 617-783-0433
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Fax | 617-783-0633
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Provider Business Mailing Address
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Address Line | 1505 COMMONWEALTH AVE SUITE 201
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City | BRIGHTON
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State | MA
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Zip | 02135-3605
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Country | US
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Telephone | 617-783-0433
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Fax | 617-783-0633
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ALLA AMITAN
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Credential |
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Telephone | 617-783-0433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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